Organization
XA D.D.S., A PROFESSIONAL CORPORATION
Active
Other names
Star Brite Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUNG Q XA DDS (DENTIST)
(702) 456-6678
Entity
Organization
Contact information
Practice address
10217 W CHARLESTON BLVD, SUITE B, LAS VEGAS, NV 89135-1021
(702) 456-6678
Mailing address
6720 N DURANGO DR, SUITE 260, LAS VEGAS, NV 89149-4434
(702) 893-2288
(702) 893-2033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4623
NV
1223G0001X
General Practice Dentistry
4644
NV
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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