| Hylo Park Dental Pllc | |
|
3880 W Lake Mead Blvd Ste 100 North Las Vegas NV 89032-5201 | |
| (702) 626-0526 | |
| Not Available |
| Full Name | Hylo Park Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3880 W Lake Mead Blvd Ste 100, North Las Vegas, Nevada |
| Authorized Official Name and Position | Khurram Fahim (MANAGING MEMBER) |
| Authorized Official Contact | 7028834345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hylo Park Dental Pllc 7380 Edna Ave Las Vegas NV 89117-2902 Ph: (702) 883-4345 | Hylo Park Dental Pllc 3880 W Lake Mead Blvd Ste 100 North Las Vegas NV 89032-5201 Ph: (702) 626-0526 |
| NPI Number | 1083435366 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083435366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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