Organization · Type 2 NPI
Board of Regents, Nevada System of Higher Education
Dental Clinic/Center · Las Vegas, NV
NPI number
1821175894
Active
Practice location
1700 W. Charleston Blvd., Building A
Las Vegas, NV 89102-2351
Fax (702) 774-2499
Mailing address
1001 Shadow Lane, Ms 7413
Las Vegas, NV 89106-4124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | LL003703 (NV) |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1821175894
Board of Regents, Nevada System of Higher Education's National Provider Identifier is 1821175894, issued on Nov 1, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 28, 2014.