Organization
ELITE DENTAL, INC.
Active
Other names
Elite Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NHAN TRONG TRUONG D.D.S. (PRESIDENT)
(714) 653-0447
Entity
Organization
Contact information
Practice address
3056 LOGGIA CT, LAS VEGAS, NV 89117-2559
(714) 653-0447
Mailing address
3056 LOGGIA CT, LAS VEGAS, NV 89117-2559
(714) 653-0447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3691
NV
Other
Enumeration date
07/03/2006
Last updated
10/14/2014
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