Organization · Type 2 NPI
Boulder Dental Group, LLC
General Practice Dentistry · Las Vegas, NV
NPI number
1245677152
Active
Practice location
6325 E Russell Rd, #100
Las Vegas, NV 89122-7069
Fax (702) 382-4469
Mailing address
526 S Tonopah Dr, #200
Las Vegas, NV 89106-4043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | S6-81 (NY) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1245677152
Boulder Dental Group, LLC's National Provider Identifier is 1245677152, issued on May 31, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Las Vegas, NV. The record was last updated on May 31, 2013.