| Eastern Family Medical And Dental Center | |
|
2212 S Eastern Ave Las Vegas NV 89104-4124 | |
| (702) 735-9334 | |
| (702) 935-9335 |
| Full Name | Eastern Family Medical And Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 2212 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Thomas G Chase (CEO) |
| Authorized Official Contact | 7758886610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Family Medical And Dental Center 1802 N Carson St Ste 100 Carson City NV 89701-1227 Ph: (775) 888-6610 | Eastern Family Medical And Dental Center 2212 S Eastern Ave Las Vegas NV 89104-4124 Ph: (702) 735-9334 |
| NPI Number | 1508014440 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508014440 | NPI | - | NPPES |
| Q07-01544-6-142192 | Other | NV | BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3471 (Nevada) | Primary |
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