Organization
KIM-VY C PHAM DMD PLLC
Active
Other names
Inspired Dental at Sunset, Inspired Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM-VY CHANH PHAM DMD (DENTIST)
(702) 985-5876
Entity
Organization
Contact information
Practice address
110 E BRUNER AVE STE 130, LAS VEGAS, NV 89183-5700
(702) 798-6684
(702) 798-7203
Mailing address
110 E BRUNER AVE STE 130, LAS VEGAS, NV 89183-5700
(702) 798-6684
(702) 798-7203
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
6793
NV
Other
Enumeration date
11/03/2016
Last updated
08/08/2024
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