| Mountain's Edge Pediatric Dentistry | |
|
8520 Blue Diamond Rd Ste 130 Las Vegas NV 89178-9297 | |
| (702) 496-6777 | |
| Not Available |
| Full Name | Mountain's Edge Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8520 Blue Diamond Rd Ste 130, Las Vegas, Nevada |
| Authorized Official Name and Position | Todd James Baggaley (MANAGING MEMBER) |
| Authorized Official Contact | 7024966777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain's Edge Pediatric Dentistry 5705 Centennial Center Blvd Ste 140 Las Vegas NV 89149-7129 Ph: (702) 496-6777 | Mountain's Edge Pediatric Dentistry 8520 Blue Diamond Rd Ste 130 Las Vegas NV 89178-9297 Ph: (702) 496-6777 |
| NPI Number | 1609377373 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 02/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609377373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | S6-107 (Nevada) | Primary |
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