| Children's Dental Group, Inc. | |
|
8430 W Lake Mead Blvd Suite 150 Las Vegas NV 89128-7672 | |
| (702) 220-9100 | |
| (702) 220-9104 |
| Full Name | Children's Dental Group, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8430 W Lake Mead Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Andre Michaelian (PRESIDENT) |
| Authorized Official Contact | 7022209100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Group, Inc. 8430 W Lake Mead Blvd Suite 150 Las Vegas NV 89128-7672 Ph: (702) 220-9100 | Children's Dental Group, Inc. 8430 W Lake Mead Blvd Suite 150 Las Vegas NV 89128-7672 Ph: (702) 220-9100 |
| NPI Number | 1881861037 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881861037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3076 (Nevada) | Primary |
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