Healthcare Provider Details

I. General information

NPI: 1417517335
Provider Name (Legal Business Name): RBK SUNNY GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2019
Last Update Date: 06/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2696 W ANN RD STE 111
NORTH LAS VEGAS NV
89031-1185
US

IV. Provider business mailing address

2696 W ANN RD STE 111
NORTH LAS VEGAS NV
89031-1185
US

V. Phone/Fax

Practice location:
  • Phone: 702-313-6888
  • Fax:
Mailing address:
  • Phone: 702-313-6888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL BAEK
Title or Position: PRESIDENT
Credential:
Phone: 702-927-9941