Organization
KDTK CORP LLC
Active
Other names
DOLCRX WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KHANH BAO PHAM R.PH,CDE (MANAGING MEMBER)
(702) 436-5279
Entity
Organization
Contact information
Practice address
801 S RANCHO DR, SUITE A4, LAS VEGAS, NV 89106-3854
(702) 436-5279
(702) 776-8201
Mailing address
PO BOX 35668, LAS VEGAS, NV 89133-5668
(702) 436-5279
(702) 776-8201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
NV
Other
Enumeration date
11/08/2010
Last updated
01/05/2018
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