Individual
SISI BAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4380 W CACTUS AVE STE 100, LAS VEGAS, NV 89141-8926
(702) 570-0241
Mailing address
16259 AURORA CREST DR, WHITTIER, CA 90605-1367
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
65346
CA
1223P0221X
Pediatric Dentistry
Primary
S6-218C
NV
Other
Enumeration date
02/03/2016
Last updated
04/04/2024
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