Organization
JU DDS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKYOUNG JU DDS (OWNER)
(702) 293-0373
Entity
Organization
Contact information
Practice address
899 ADAMS BLVD, BOULDER CITY, NV 89005-2235
(702) 293-0373
(702) 293-3464
Mailing address
899 ADAMS BLVD, BOULDER CITY, NV 89005-2235
(702) 293-0373
(702) 293-3464
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6730
NV
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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