| Cosmopolitan Dental | |
|
1301 Bertha Howe Ave Suite 5 Mesquite NV 89027-7502 | |
| (702) 345-2299 | |
| (702) 345-2303 |
| Full Name | Cosmopolitan Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 Bertha Howe Ave, Mesquite, Nevada |
| Authorized Official Name and Position | Theresa R Woolridge-ofori (OWNER) |
| Authorized Official Contact | 7023452299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmopolitan Dental Po Box 2608 Mesquite NV 89024-2608 Ph: (702) 345-2299 | Cosmopolitan Dental 1301 Bertha Howe Ave Suite 5 Mesquite NV 89027-7502 Ph: (702) 345-2299 |
| NPI Number | 1083735245 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083735245 | NPI | - | NPPES |
| 100505709 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4669 (Nevada) | Primary |
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