| |
40 N Valle Verde Dr Ste 140 Henderson NV 89074-1776 | |
(702) 648-0011 | |
(702) 364-0011 |
Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 40 N Valle Verde Dr, Henderson, Nevada |
Authorized Official Name and Position | Eric V Lac (DENTIST) |
Authorized Official Contact | 7026480011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
192 Cliff Valley Dr Las Vegas NV 89148-2707 Ph: (702) 648-0011 | 40 N Valle Verde Dr Ste 140 Henderson NV 89074-1776 Ph: (702) 648-0011 |
NPI Number | 1568604023 |
---|---|
Provider Enumeration Date | 03/30/2009 |
Last Update Date | 03/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568604023 | NPI | - | NPPES |
100513109 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4563 (Nevada) | Primary |
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 | |