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General NPI Number Information
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NPI Number | 1336314202
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Entity Type | Organization
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Legal Business Name | KWEE P.C.
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 3417 S JONES BLVD SUITE #F
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City | LAS VEGAS
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State | NV
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Zip | 89146-6784
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Country | US
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Telephone | 702-368-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 10314 PREMIA PL
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City | LAS VEGAS
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State | NV
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Zip | 89135-3233
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Country | US
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Telephone | 206-484-3570
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LILY SIOELI KWEE
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Credential | DMD
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Telephone | 702-368-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4896T
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License Number State | NV
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