Individual ProviderJun Yuan XiaoDentistDental ProvidersPractice Address8380 W Cheyenne Ave Ste 102, Las Vegas, NV 89129-2175(702) 291-2031PECOS EnrollmentBased on the most recent information from CMS, provider Jun Yuan Xiao does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770210338Provider TypeIndividualFull NameXiao, Jun YuanTitleDr.GenderFemaleSole ProprietorNoEnumeration Date8/4/2022Last Updated2/15/2023Contact InformationPractice LocationPractice Address8380 W Cheyenne Ave Ste 102, Las Vegas, NV 89129-2175Phone(702) 291-2031FaxUnlisted FaxMailing LocationMailing Address250 Promenade Pl Apt 443, Las Vegas, NV 89106-1482PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense7702NevadaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer