| |
4090 N Martin L King Blvd North Las Vegas NV 89032-3218 | |
(702) 489-5460 | |
Not Available |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 4090 N Martin L King Blvd, North Las Vegas, Nevada |
Authorized Official Name and Position | Steven Delisle (OWNER) |
Authorized Official Contact | 7024895460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4090 N Martin L King Blvd North Las Vegas NV 89032-3218 Ph: (702) 489-5460 | 4090 N Martin L King Blvd North Las Vegas NV 89032-3218 Ph: (702) 489-5460 |
NPI Number | 1215353511 |
---|---|
Provider Enumeration Date | 03/11/2014 |
Last Update Date | 03/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215353511 | NPI | - | NPPES |
22 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5929 (Nevada) | Primary |
North Las Vegas Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 Civic Center Dr Ste 5, North Las Vegas, NV 89030 Phone: 702-452-5751 Fax: 702-868-5755 | |
Nevada Dental Professional, Quirt, Kruyer, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4372 W Ann Rd, North Las Vegas, NV 89031 Phone: 702-760-3450 Fax: 702-760-3451 | |
Hylo Park Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3880 W Lake Mead Blvd Ste 100, North Las Vegas, NV 89032 Phone: 702-626-0526 | |
Cressman Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7920 N Decatur Blvd, Suite 101, North Las Vegas, NV 89084 Phone: 702-673-5772 Fax: 702-673-5773 | |