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Organization
ED DEANDRADE DDS, LTD.
Active
Organization
ED DEANDRADE DDS, LTD.
Active
Other names
Anthem Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ED DE ANDRADE DDS (PRESIDENT)
(702) 270-4600
Entity
Organization
Contact information
Practice address
2610 W HORIZON RIDGE PKWY, SUITE #202, HENDERSON, NV 89052-2869
(702) 270-4600
(702) 270-7773
Mailing address
2610 W HORIZON RIDGE PKWY, SUITE #202, HENDERSON, NV 89052-2869
(702) 270-4600
(702) 270-7773
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3586
NV
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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