| Pure Dental | |
|
4250 S Rainbow Blvd #1004-1005 Las Vegas NV 89103-3159 | |
| (702) 456-4600 | |
| (702) 456-3600 |
| Full Name | Pure Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4250 S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Trang Nguyen (OWNER) |
| Authorized Official Contact | 7024564600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Dental 4250 S Rainbow Blvd #1004-1005 Las Vegas NV 89103-3159 Ph: (702) 456-4600 | Pure Dental 4250 S Rainbow Blvd #1004-1005 Las Vegas NV 89103-3159 Ph: (702) 456-4600 |
| NPI Number | 1508191420 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508191420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4709 (Nevada) | Primary |
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