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2843 Saint Rose Pkwy #100 Henderson NV 89052-4813 | |
| (702) 531-5437 | |
| (702) 616-3565 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2843 Saint Rose Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Diana B. Mendoza (OFFICE MANAGER) |
| Authorized Official Contact | 7024595437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2843 Saint Rose Pkwy #100 Henderson NV 89052-4813 Ph: (702) 531-5437 | 2843 Saint Rose Pkwy #100 Henderson NV 89052-4813 Ph: (702) 531-5437 |
| NPI Number | 1417041146 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 11/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417041146 | NPI | - | NPPES |
| 3696 | Other | NV | STATE LICENSE NUMBER |
| 4341 | Other | NV | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4341 (Nevada) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 3696 (Nevada) | Secondary |
Valudental Sunset Boyd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 W Sunset Rd Ste 7, Henderson, NV 89014 Phone: 702-674-7000 | |