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669 N Stephanie St Henderson NV 89014-2634 | |
(702) 435-3827 | |
(702) 435-3973 |
Full Name | |
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Speciality | Dentist |
Location | 669 N Stephanie St, Henderson, Nevada |
Authorized Official Name and Position | Bradley R Peterson (PC OWNER/PRESIDENT) |
Authorized Official Contact | 3608697645 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1101 Se Tech Center Dr Ste 195 Vancouver WA 98683-5511 Ph: (360) 869-7645 | 669 N Stephanie St Henderson NV 89014-2634 Ph: (702) 435-3827 |
NPI Number | 1184830788 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 02/07/2025 |
Identifier | Type | State | Issuer |
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1184830788 | 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 | |