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54 N Pecos Rd Suite B Henderson NV 89074-7329 | |
(702) 436-4300 | |
(702) 436-0334 |
Full Name | |
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Speciality | Dentist - Endodontics |
Location | 54 N Pecos Rd, Henderson, Nevada |
Authorized Official Name and Position | William John Dougherty (PRESIDENT) |
Authorized Official Contact | 7024364300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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54 N Pecos Rd Suite B Henderson NV 89074-7329 Ph: (702) 436-4300 | 54 N Pecos Rd Suite B Henderson NV 89074-7329 Ph: (702) 436-4300 |
NPI Number | 1700817137 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 03/26/2013 |
Identifier | Type | State | Issuer |
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1700817137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223E0200X | Dentist - Endodontics | (* (Not Available)) | 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 | |