Miracle Dental | |
4210 W Craig Rd Suite #104 North Las Vegas NV 89032-2734 | |
(702) 436-5222 | |
(702) 873-5222 |
Full Name | Miracle Dental |
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Speciality | Dentist |
Location | 4210 W Craig Rd, North Las Vegas, Nevada |
Authorized Official Name and Position | Ann T. A. Pham (PRESIDENT) |
Authorized Official Contact | 7024560056 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Miracle Dental 8001 N Durango Dr Suite 100 Las Vegas NV 89143 Ph: (702) 456-0056 | Miracle Dental 4210 W Craig Rd Suite #104 North Las Vegas NV 89032-2734 Ph: (702) 436-5222 |
NPI Number | 1508059882 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 08/21/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508059882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4078 (Nevada) | Primary |
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