| Nevada Orthodontic Care | |
|
2600 S Rainbow Blvd 101 Las Vegas NV 89146-4006 | |
| (702) 733-7645 | |
| Not Available |
| Full Name | Nevada Orthodontic Care |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2600 S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Brian Randle (DOCTOR) |
| Authorized Official Contact | 8015419504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Orthodontic Care 2600 S Rainbow Blvd 101 Las Vegas NV 89146-4006 Ph: (702) 733-7645 | Nevada Orthodontic Care 2600 S Rainbow Blvd 101 Las Vegas NV 89146-4006 Ph: (702) 733-7645 |
| NPI Number | 1629164769 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629164769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4332 (Nevada) | Primary |
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