# COSMOPOLITAN DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083735245
- **Authorized official:** THERESA R WOOLRIDGE-OFORI DDS (OWNER)
- **Authorized official phone:** (702) 345-2299

## Contact information

- **Practice address:** 1301 BERTHA HOWE AVE, SUITE 5, MESQUITE, NV 89027-7502
- **Practice address phone:** (702) 345-2299
- **Practice address fax:** (702) 345-2303
- **Mailing address:** PO BOX 2608, MESQUITE, NV 89024-2608
- **Mailing address phone:** (702) 345-2299
- **Mailing address fax:** (702) 345-2303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4669 | NV | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 02/17/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100505709 | — | NV |