| Aq Dentures | |
|
349 W Lake Mead Pkwy Henderson NV 89015 | |
| (702) 565-6000 | |
| (702) 565-0474 |
| Full Name | Aq Dentures |
|---|---|
| Speciality | Dentist |
| Location | 349 W Lake Mead Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Kimberly White (FRONT DESK) |
| Authorized Official Contact | 7025656000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aq Dentures 349 W Lake Mead Pkwy Henderson NV 89015-7029 Ph: (702) 565-6000 | Aq Dentures 349 W Lake Mead Pkwy Henderson NV 89015 Ph: (702) 565-6000 |
| NPI Number | 1508282351 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 05/17/2023 |
| Medicare PECOS PAC ID | 7911130687 |
|---|---|
| Medicare Enrollment ID | O20140502001526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508282351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4092 (Nevada) | Primary |
| Provider Name | William Maricondia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336179787 PECOS PAC ID: 8820221591 Enrollment ID: I20140503000010 |
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