| |
2649 Wigwam Pkwy Ste. 106 Henderson NV 89074-7310 | |
(702) 617-3333 | |
(702) 617-0332 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 2649 Wigwam Pkwy, Henderson, Nevada |
Authorized Official Name and Position | Ellen Piyevsky (PRESIDENT) |
Authorized Official Contact | 7026173333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2649 Wigwam Pkwy Ste. 106 Henderson NV 89074-7310 Ph: (702) 617-3333 | 2649 Wigwam Pkwy Ste. 106 Henderson NV 89074-7310 Ph: (702) 617-3333 |
NPI Number | 1659594067 |
---|---|
Provider Enumeration Date | 04/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659594067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3344 (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 | |