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6490 S. Mccarran Blvd. #17 & #18 Last Vegas NV 89509 | |
(775) 829-8901 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 6490 S. Mccarran Blvd. #17 & #18, Last Vegas, Nevada |
Authorized Official Name and Position | Patricia Prada (MEMBER) |
Authorized Official Contact | 7757878900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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526 S Tonopah Dr Ste 200 Las Vegas NV 89106-4013 Ph: (702) 435-5015 | 6490 S. Mccarran Blvd. #17 & #18 Last Vegas NV 89509 Ph: (775) 829-8901 |
NPI Number | 1134584055 |
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Provider Enumeration Date | 12/18/2015 |
Last Update Date | 12/18/2015 |
Identifier | Type | State | Issuer |
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1134584055 | NPI | - | NPPES |