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1306 W Craig Rd Ste H North Las Vegas NV 89032-0215 | |
| (702) 633-4333 | |
| (702) 639-0032 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1306 W Craig Rd Ste H, North Las Vegas, Nevada |
| Authorized Official Name and Position | Zachary Dan Soard (OWNER) |
| Authorized Official Contact | 7026334333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1306 W Craig Rd Ste H North Las Vegas NV 89032-0215 Ph: (702) 633-4333 | 1306 W Craig Rd Ste H North Las Vegas NV 89032-0215 Ph: (702) 633-4333 |
| NPI Number | 1881219699 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 02/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881219699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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