Phan, Dawna Thien
Phan, Dawna Thien is an sole proprietor health care provider with primary practice located at 2301 E Lake Mead Blvd , N Las Vegas NV 89030-7137. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Phan, Dawna Thien can be contacted via phone (702) 331-8338.Contact Information
Primary practice address
2301 E Lake Mead Blvd
N Las Vegas NV 89030-7137
Phone: (702) 331-8338
Fax: (702) 639-0579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D49391 | California |
Profile Details
| NPI number | 1417086661 |
|---|---|
| LBN Legal business name | Phan, Dawna Thien |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jun 15th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417086661 | NPPES |
| Nevada | MEDICAID | 1417086661 |
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