Individual
TINA JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1700 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2335
(702) 774-5138
Mailing address
1700 W CHARLESTON BLVD # MS 7424, LAS VEGAS, NV 89102-2335
(702) 774-5138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1
WA
122300000X
Dentist
D-5154
ID
122300000X
Dentist
DE60962154
WA
122300000X
Dentist
LL-554-21
NV
Other
Enumeration date
06/24/2019
Last updated
07/02/2021
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