Provider Demographics
NPI:1255615803
Name:YAP, KIMBERLY PEARL LAO (DDS)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:PEARL LAO
Last Name:YAP
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 N HUALAPAI WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1373
Mailing Address - Country:US
Mailing Address - Phone:702-850-5252
Mailing Address - Fax:702-470-1888
Practice Address - Street 1:6720 N HUALAPAI WAY STE 105
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-1373
Practice Address - Country:US
Practice Address - Phone:702-850-5252
Practice Address - Fax:702-470-1888
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6509122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist