Full Name | Icon Dental |
---|---|
Speciality | Dentist |
Location | 3730 E. Flamingo Rd., Las Vegas, Nevada |
Authorized Official Name and Position | Kelly S. Jin (DENTIST/OWNER) |
Authorized Official Contact | 7028044266 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Icon Dental 7300 Arroyo Crossing Parkway #100 Las Vegas NV 89113 Ph: (702) 880-4266 | Icon Dental 3730 E. Flamingo Rd. Las Vegas NV 89121 Ph: (702) 804-4266 |
NPI Number | 1033341342 |
---|---|
Provider Enumeration Date | 08/20/2009 |
Last Update Date | 08/20/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033341342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3739 (Nevada) | Primary |
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› Verified 9 days ago
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