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3880 W Lake Mead Blvd Ste 100 N Las Vegas NV 89032 | |
| (702) 399-8888 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3880 W Lake Mead Blvd Ste 100, N Las Vegas, Nevada |
| Authorized Official Name and Position | Roland Pischinger (INSURANCE DEPARTMENT MANAGER) |
| Authorized Official Contact | 7025222028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2101 S Jones Blvd Ste 140 Las Vegas NV 89146-3133 Ph: (702) 522-2269 | 3880 W Lake Mead Blvd Ste 100 N Las Vegas NV 89032 Ph: (702) 399-8888 |
| NPI Number | 1306002720 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 06/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306002720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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