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NPI Code Detail

MEDICARE: KIMBERLY PEARL LAO YAP DDS

MEDICARE:   KIMBERLY PEARL LAO YAP  DDS
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
1122300000XDentist6509NV

General Provider Information

NPI Number : 1255615803
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY PEARL LAO YAP DDS
Provider Business Mailing Address
First Line : 6720 N HUALAPAI WAY STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-1373
Country : US
Telephone Number : 702-850-5252
Fax Number : 702-470-1888
Provider Business Practice Location Address
First Line : 6720 N HUALAPAI WAY STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-1373
Country : US
Telephone Number : 702-850-5252
Fax Number : 702-470-1888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2011
Last Update Date : 06/15/2020

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Directions to “ KIMBERLY PEARL LAO YAP DDS” Practice Location

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