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NPI Code Detail

MEDICARE: HILLCREST DENTAL

MEDICARE: HILLCREST DENTAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/CenterNV

General Provider Information

NPI Number : 1245448836
Entity Type Code : Organization
Provider Name (Legal Business Name) : HILLCREST DENTAL
Provider Business Mailing Address
First Line : 3350 NOVAT ST STE 145
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129
Country : US
Telephone Number : 702-395-1088
Fax Number : 702-395-0888
Provider Business Practice Location Address
First Line : 3350 NOVAT ST STE 145
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129
Country : US
Telephone Number : 702-395-1088
Fax Number : 702-395-0888
Authorized Official
Title or Position : PRESIDENT
Name : DR. TONY CHING KOU LEE
Credential : D.M.D
Telephone Number : 702-257-6767
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/21/2022

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Directions to “HILLCREST DENTAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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