| Cavitybusters | |
|
6910 S Rainbow Blvd #104 Las Vegas NV 89118-3273 | |
| (702) 362-5437 | |
| (702) 631-5437 |
| Full Name | Cavitybusters |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6910 S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Quang M.d. Bui (OWNER) |
| Authorized Official Contact | 7023625437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cavitybusters 6910 S Rainbow Blvd #104 Las Vegas NV 89118-3273 Ph: (702) 362-5437 | Cavitybusters 6910 S Rainbow Blvd #104 Las Vegas NV 89118-3273 Ph: (702) 362-5437 |
| NPI Number | 1538314372 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538314372 | NPI | - | NPPES |
| 1043396906 | Medicaid | NV | |
| 880491583 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | S5-62 (Nevada) | Primary |
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