Provider Demographics
NPI:1346266350
Name:LIM, CHRISTOPHER ANG (DMD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ANG
Last Name:LIM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 S FORT APACHE
Mailing Address - Street 2:#130
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-895-7799
Mailing Address - Fax:702-895-7192
Practice Address - Street 1:6015 S FORT APACHE
Practice Address - Street 2:#130
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-895-7799
Practice Address - Fax:702-895-7192
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV44961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice