Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 3495015 | WI |
NPI | 1235249822 |
---|---|
Provider Name | Dr. Kiki S Dounis |
First Address | Las Vegas, NV 89145-4876 |
Second Address | Las Vegas, NV 89106-3836 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 13/07/2007 |