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281 W Centennial Pkwy # 100-101 North Las Vegas NV 89084-1349 | |
| (714) 400-6339 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 281 W Centennial Pkwy # 100-101, North Las Vegas, Nevada |
| Authorized Official Name and Position | Garry B Trinh (OFFICE MANAGER) |
| Authorized Official Contact | 7144006339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1350 N Town Center Dr Unit 2073 Las Vegas NV 89144-0586 Ph: () - | 281 W Centennial Pkwy # 100-101 North Las Vegas NV 89084-1349 Ph: (714) 400-6339 |
| NPI Number | 1255800868 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 03/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255800868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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