Organization
VIVID DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINBO CHUNG DMD (CEO)
(213) 999-1731
Entity
Organization
Contact information
Practice address
9310 W SAHARA AVE STE 2, LAS VEGAS, NV 89117-5399
(702) 625-4225
Mailing address
9310 W SAHARA AVE STE 2, LAS VEGAS, NV 89117-5399
(702) 625-4225
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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