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Organization
MEDICAL AND DENTAL CENTER OF NEVADA LLC
Active
Organization
MEDICAL AND DENTAL CENTER OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
4275 BURNHAM AVE STE 101, LAS VEGAS, NV 89119-5400
(702) 489-3555
Mailing address
4275 BURNHAM AVE STE 101, LAS VEGAS, NV 89119-5400
(702) 489-3555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/06/2018
Last updated
12/11/2023
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