Organization
CORONA DENTAL & DENTURES, XA PROF. CORP.
Active
Other names
Corona Dental & Dentures
Organization subpart
No
Provider details
NPI number
Authorized official
HAI XA DMD (DENTIST)
(702) 456-5100
Entity
Organization
Contact information
Practice address
5080 E BONANZA RD, LAS VEGAS, NV 89110-3524
(702) 456-5100
(702) 456-5102
Mailing address
5080 E BONANZA RD, LAS VEGAS, NV 89110-3524
(702) 456-5100
(702) 456-5102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3780
NV
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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