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731 Mall Ring Cir Henderson NV 89014-6683 | |
(702) 734-5333 | |
(702) 990-0304 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 731 Mall Ring Cir, Henderson, Nevada |
Authorized Official Name and Position | Harout V Gostanian (OWNER) |
Authorized Official Contact | 7027345333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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731 Mall Ring Cir Henderson NV 89014-6683 Ph: (702) 734-5333 | 731 Mall Ring Cir Henderson NV 89014-6683 Ph: (702) 734-5333 |
NPI Number | 1912118878 |
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Provider Enumeration Date | 05/24/2007 |
Last Update Date | 07/30/2015 |
Identifier | Type | State | Issuer |
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1912118878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | NV20071588351 (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 | |