Residental | |
5833 Fox Hair Street North Las Vegas NV 89081 | |
(661) 886-3583 | |
Not Available |
Full Name | Residental |
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Speciality | Clinic/center - Dental |
Location | 5833 Fox Hair Street, North Las Vegas, Nevada |
Authorized Official Name and Position | Stefanie Bertram (OWNER) |
Authorized Official Contact | 6618863583 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Residental 5833 Fox Hair Street North Las Vegas NV 89081 Ph: (661) 886-3583 | Residental 5833 Fox Hair Street North Las Vegas NV 89081 Ph: (661) 886-3583 |
NPI Number | 1891536249 |
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Provider Enumeration Date | 05/31/2024 |
Last Update Date | 06/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891536249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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