JU DDS PROFESSIONAL CORPORATION NPI 1598268419

NPI Information

JU DDS PROFESSIONAL CORPORATION is an oral and maxillofacial surgery dentist in Boulder City, NV. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. JU DDS PROFESSIONAL CORPORATION NPI is 1598268419. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

899 ADAMS BLVD
BOULDER CITY, NV
ZIP 89005-235
Phone: (702) 293-0373
Fax: (702) 293-3464

The provider's authorized official is Nakyoung Ju .
The authorized official title is Owner and has the following contact phone number (702) 293-0373.

The enumeration date for this NPI number is 3/16/2018 and was last updated on 3/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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