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2500 E Lake Mead Blvd North Las Vegas NV 89030-6464 | |
| (702) 359-0847 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2500 E Lake Mead Blvd, North Las Vegas, Nevada |
| Authorized Official Name and Position | Whitney Boyle Wright (OFFICER) |
| Authorized Official Contact | 4803394800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3030 N Central Ave Ste 1500 Phoenix AZ 85012-2750 Ph: (480) 339-4800 | 2500 E Lake Mead Blvd North Las Vegas NV 89030-6464 Ph: (702) 359-0847 |
| NPI Number | 1356822498 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356822498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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