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2811 N Green Valley Pkwy Henderson NV 89014-0401 | |
(702) 434-2219 | |
(702) 456-6160 |
Full Name | |
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Speciality | Dentist |
Location | 2811 N Green Valley Pkwy, Henderson, Nevada |
Authorized Official Name and Position | Terri Gardiner (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 4077725124 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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926 Great Pond Dr Suite 2003 Altamonte Springs FL 32714-7244 Ph: (407) 772-5124 | 2811 N Green Valley Pkwy Henderson NV 89014-0401 Ph: (702) 434-2219 |
NPI Number | 1265495964 |
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Provider Enumeration Date | 04/11/2006 |
Last Update Date | 01/12/2011 |
Identifier | Type | State | Issuer |
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1265495964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (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 | |