|
| |
|
9210 S Eastern Ave #130 Las Vegas NV 89123-4834 | |
| (702) 835-1100 | |
| (702) 835-1101 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 9210 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Monique R Glosman (CHEIF OF STAFF) |
| Authorized Official Contact | 3104802307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
833 W Whittier Blvd Montebello CA 90640-4735 Ph: (323) 266-1000 | 9210 S Eastern Ave #130 Las Vegas NV 89123-4834 Ph: (702) 835-1100 |
| NPI Number | 1265613608 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 06/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265613608 | NPI | - | NPPES |
| 100512443 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3580 (Nevada) | Primary |
Modelo Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4660 S Eastern Ave Ste 101, Las Vegas, NV 89119 Phone: 702-436-6186 Fax: 702-436-3276 | |
Bradlely J. Nelson D.d.s. Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 E Sahara Ave, #2, Las Vegas, NV 89104 Phone: 702-734-8376 Fax: 702-734-8520 | |
Neighborhood Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5061 E. Sahara Ave Ste 1a, Las Vegas, NV 89142 Phone: 702-641-8868 Fax: 702-641-8865 | |
Summerlin Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4245 S Grand Canyon Dr, Ste 108, Las Vegas, NV 89147 Phone: 702-579-7645 Fax: 702-579-7660 | |
Thrive Dental Group Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 7312 W Cheyenne Ave Ste 4, Las Vegas, NV 89129 Phone: 702-877-9977 Fax: 702-899-5501 |