Organization
STAR BRITE DENTAL, XA PROF. CORP.
Active
Other names
STAR BRITE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAI Q. XA D.M.D. (PRESIDENT)
(702) 456-0034
Entity
Organization
Contact information
Practice address
893 S RAINBOW BLVD, LAS VEGAS, NV 89145-6238
(702) 456-0034
(702) 856-0035
Mailing address
893 S RAINBOW BLVD, LAS VEGAS, NV 89145-6238
(702) 456-0034
(702) 856-0035
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3780
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1655849
UNITED CONCORDIA
NV
01
—
71739
CULINARY
NV
Enumeration date
03/02/2007
Last updated
08/22/2020
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