# BLUE DIAMOND DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Absolute Dental- Blue Diamond
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053602474
- **Authorized official:** GURBRINDER DHILLON (OWNER)
- **Authorized official phone:** (702) 472-7290

## Contact information

- **Practice address:** 4720 BLUE DIAMOND RD, SUITE 100, LAS VEGAS, NV 89139-7661
- **Practice address phone:** (702) 472-7290
- **Practice address fax:** (702) 382-4469
- **Mailing address:** 526 S TONOPAH DR, SUITE 200, LAS VEGAS, NV 89106-4043
- **Mailing address phone:** (702) 435-5015
- **Mailing address fax:** (702) 366-1483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | S6-81 | NV | Yes |

## Other

- **Enumeration date:** 04/20/2011
- **Last updated:** 04/20/2011