Sunrise Orthodontics | |
3196 S Maryland Pkwy Ste 307 Las Vegas NV 89109-2314 | |
(702) 629-5695 | |
(702) 645-6793 |
Full Name | Sunrise Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3196 S Maryland Pkwy Ste 307, Las Vegas, Nevada |
Authorized Official Name and Position | Brian Eldon Chamberlain (OWNER/OPERATOR) |
Authorized Official Contact | 7026455100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunrise Orthodontics 7090 N Durango Dr Ste 120 Las Vegas NV 89149-4495 Ph: (702) 645-5100 | Sunrise Orthodontics 3196 S Maryland Pkwy Ste 307 Las Vegas NV 89109-2314 Ph: (702) 629-5695 |
NPI Number | 1326564725 |
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Provider Enumeration Date | 08/17/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326564725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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