Organization
PRISTINE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA JIA LIANG DMD (DENTIST)
(702) 885-6611
Entity
Organization
Contact information
Practice address
6925 S BUFFALO DR, ST 160, LAS VEGAS, NV 89113
(702) 721-9698
Mailing address
8612 WIND ROSE CT, LAS VEGAS, NV 89139-6863
(626) 363-5990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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