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680 S Green Valley Pkwy Ste 100 Henderson NV 89052-0438 | |
(702) 444-7771 | |
(702) 444-7934 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 680 S Green Valley Pkwy Ste 100, Henderson, Nevada |
Authorized Official Name and Position | Grace Chung (OWNER DENTIST) |
Authorized Official Contact | 7024447771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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680 S Green Valley Pkwy Ste 100 Henderson NV 89052-0438 Ph: (702) 444-7771 | 680 S Green Valley Pkwy Ste 100 Henderson NV 89052-0438 Ph: (702) 444-7771 |
NPI Number | 1760848311 |
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Provider Enumeration Date | 01/13/2016 |
Last Update Date | 01/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760848311 | NPI | - | NPPES |
1295139905 | Other | NPI TYPE 1 | |
1003265091 | Other | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6572 (Nevada) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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 | |