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1351 W Sunset Rd #100 Henderson NV 89014-8608 | |
(702) 835-1100 | |
(702) 835-1101 |
Full Name | |
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Speciality | Dentist |
Location | 1351 W Sunset Rd, Henderson, Nevada |
Authorized Official Name and Position | Monique R Gosman (CHEIF OF STAFF) |
Authorized Official Contact | 3104802307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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833 W Whittier Blvd Montebello CA 90640-4735 Ph: (323) 266-1000 | 1351 W Sunset Rd #100 Henderson NV 89014-8608 Ph: (702) 835-1100 |
NPI Number | 1073794418 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 06/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073794418 | NPI | - | NPPES |
100512439 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 3580 (Nevada) | 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 | |