Individual provider · Type 1 NPI

Wanni Lie

General Practice Dentistry · Las Vegas, NV

NPI number 1073042446 Active

Practice location

10870 W Charleston Blvd Ste 170
Las Vegas, NV 89135-1170

Call (702) 254-6412 Map

Mailing address

1504 Truett St Unit 101
Las Vegas, NV 89128-8074

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X6920 (NV)
General Practice Dentistry Primary 1223G0001X6920 (NV)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1073042446

Wanni Lie's National Provider Identifier is 1073042446, issued on Jun 8, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 8, 2017.