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375 N Stephanie St Ste 211 Henderson NV 89014-8773 | |
(702) 454-1008 | |
(702) 454-1009 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 375 N Stephanie St Ste 211, Henderson, Nevada |
Authorized Official Name and Position | Matthew Wirig (MANAGER) |
Authorized Official Contact | 7024541008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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375 N Stephanie St Ste 211 Henderson NV 89014-8773 Ph: (702) 454-1008 | 375 N Stephanie St Ste 211 Henderson NV 89014-8773 Ph: (702) 454-1008 |
NPI Number | 1962969626 |
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Provider Enumeration Date | 02/28/2019 |
Last Update Date | 11/06/2019 |
Identifier | Type | State | Issuer |
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1962969626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Valudental Sunset Boyd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 W Sunset Rd Ste 7, Henderson, NV 89014 Phone: 702-674-7000 | |