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10880 S Eastern Ave Ste 101 Henderson NV 89052-5706 | |
(702) 616-1600 | |
(702) 616-6611 |
Full Name | |
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Speciality | Dentist |
Location | 10880 S Eastern Ave Ste 101, Henderson, Nevada |
Authorized Official Name and Position | Parminder Atwal (MANAGING MEMBER) |
Authorized Official Contact | 7023725973 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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222 Karen Ave Unit 2104 Las Vegas NV 89109-5304 Ph: (702) 372-5973 | 10880 S Eastern Ave Ste 101 Henderson NV 89052-5706 Ph: (702) 616-1600 |
NPI Number | 1164135240 |
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Provider Enumeration Date | 01/03/2023 |
Last Update Date | 01/20/2024 |
Medicare PECOS PAC ID | 8224477203 |
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Medicare Enrollment ID | O20240424000447 |
Identifier | Type | State | Issuer |
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1164135240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (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 | |