| Kids' Dental Safari | |
|
2381b Renaissance Dr Las Vegas NV 89119-6498 | |
| (702) 373-9526 | |
| Not Available |
| Full Name | Kids' Dental Safari |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2381b Renaissance Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | William Waggoner (PRESIDENT) |
| Authorized Official Contact | 7022544220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids' Dental Safari 8981 W Sahara Ave Suite 110 Las Vegas NV 89117-5897 Ph: (702) 254-4220 | Kids' Dental Safari 2381b Renaissance Dr Las Vegas NV 89119-6498 Ph: (702) 373-9526 |
| NPI Number | 1740684430 |
|---|---|
| Provider Enumeration Date | 10/09/2014 |
| Last Update Date | 10/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740684430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | S6-17 (Nevada) | Primary |
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