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Organization
COAST DENTAL OF NEVADA INC
Active
Organization
COAST DENTAL OF NEVADA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE FINNELL (DIRECTOR OF INS. AND CREDENTIALING)
(813) 288-1999
Entity
Organization
Contact information
Practice address
2047 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89102
(813) 288-1999
Mailing address
4010 W BOY SCOUT BLVD, SUITE 1100, TAMPA, FL 33607-5727
(813) 288-1999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NV
Other
Enumeration date
01/05/2012
Last updated
05/31/2018
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