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560 Marks St Ste B Henderson NV 89014-8602 | |
(702) 456-5100 | |
(702) 456-5102 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 560 Marks St Ste B, Henderson, Nevada |
Authorized Official Name and Position | Hai Q. Xa (PRESIDENT) |
Authorized Official Contact | 7024565100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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560 Marks St Ste B Henderson NV 89014-8602 Ph: (702) 456-5100 | 560 Marks St Ste B Henderson NV 89014-8602 Ph: (702) 456-5100 |
NPI Number | 1508995598 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508995598 | NPI | - | NPPES |
71048 | Other | NV | CULINARY |
1392912 | Other | NV | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 3780 (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 | |