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1000 Wigwam Pkwy Ste 120 Henderson NV 89074-8164 | |
(702) 777-4700 | |
(702) 777-0700 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1000 Wigwam Pkwy Ste 120, Henderson, Nevada |
Authorized Official Name and Position | Byronn Gene Hahn (OWNER) |
Authorized Official Contact | 7027774700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1000 Wigwam Pkwy Ste 120 Henderson NV 89074-8164 Ph: (702) 777-4700 | 1000 Wigwam Pkwy Ste 120 Henderson NV 89074-8164 Ph: (702) 777-4700 |
NPI Number | 1821115338 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 08/07/2018 |
Identifier | Type | State | Issuer |
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1821115338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 5105 (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 | |