# ERNESTO BARBOSA DMD, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ERNESTO BARBOSA DMD, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043582810
- **Legal business name:** ERNESTO BARBOSA DMD, P.C.
- **Authorized official:** ERNESTO BARBOSA (OWNER)
- **Authorized official phone:** (702) 278-0876

## Contact information

- **Practice address:** 1264 S NELLIS BLVD, LAS VEGAS, NV 89104-5782
- **Practice address phone:** (702) 243-2489
- **Practice address fax:** (702) 438-4428
- **Mailing address:** 1264 S NELLIS BLVD, LAS VEGAS, NV 89104-5782
- **Mailing address phone:** (702) 243-2489
- **Mailing address fax:** (702) 438-4428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6060 | NV | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 8361 | NV | — |

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 02/08/2012