Provider Demographics
NPI:1336314202
Name:KWEE P.C.
Entity Type:Organization
Organization Name:KWEE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LILY
Authorized Official - Middle Name:SIOELI
Authorized Official - Last Name:KWEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-368-5111
Mailing Address - Street 1:10314 PREMIA PL
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-3233
Mailing Address - Country:US
Mailing Address - Phone:206-484-3570
Mailing Address - Fax:
Practice Address - Street 1:3417 S JONES BLVD
Practice Address - Street 2:SUITE #F
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6784
Practice Address - Country:US
Practice Address - Phone:702-368-5111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4896T122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty