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70 E Horizon Ridge Pkwy 170 Henderson NV 89002 | |
(702) 564-1037 | |
(702) 565-6104 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 70 E Horizon Ridge Pkwy, Henderson, Nevada |
Authorized Official Name and Position | James Isaac Gibson (PRESIDENT) |
Authorized Official Contact | 7025641037 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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70 E Horizon Ridge Pkwy 170 Henderson NV 89015-7925 Ph: (702) 564-1037 | 70 E Horizon Ridge Pkwy 170 Henderson NV 89002 Ph: (702) 564-1037 |
NPI Number | 1740312891 |
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Provider Enumeration Date | 03/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1740312891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | S3-97 (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 | |