# P3 DENTAL - WELEBIR PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** P3 DENTAL - WELEBIR PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063980142
- **Legal business name:** P3 DENTAL - WELEBIR PC
- **Authorized official:** BEATRIZ HERNANDEZ (SUPERVISOR)
- **Authorized official phone:** (714) 578-6591

## Contact information

- **Practice address:** 4955 S DURANGO DR STE 201, LAS VEGAS, NV 89113-0156
- **Practice address phone:** (702) 933-7275
- **Practice address fax:** (702) 933-0596
- **Mailing address:** 1131 S CASINO CENTER BLVD, LAS VEGAS, NV 89104-1013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2018
- **Last updated:** 11/07/2018