Healthcare Provider Details

I. General information

NPI: 1689605099
Provider Name (Legal Business Name): KRISTEN LISA BELING D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 E SUNSET RD SUITE 107
LAS VEGAS NV
89120-3218
US

IV. Provider business mailing address

3663 E SUNSET RD SUITE 107
LAS VEGAS NV
89120-3218
US

V. Phone/Fax

Practice location:
  • Phone: 702-436-4300
  • Fax: 702-436-0334
Mailing address:
  • Phone: 702-436-4300
  • Fax: 702-436-0334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberS7-21
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: