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10410 S Eastern Ave Ste 200 Henderson NV 89052-4141 | |
(702) 616-0777 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 10410 S Eastern Ave Ste 200, Henderson, Nevada |
Authorized Official Name and Position | Carmen Woods (CREDENTIALING MANAGER) |
Authorized Official Contact | 2175405141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10410 S Eastern Ave Ste 200 Henderson NV 89052-4141 Ph: (702) 616-0777 | 10410 S Eastern Ave Ste 200 Henderson NV 89052-4141 Ph: (702) 616-0777 |
NPI Number | 1306192273 |
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Provider Enumeration Date | 07/30/2012 |
Last Update Date | 09/26/2022 |
Identifier | Type | State | Issuer |
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1306192273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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 | |