# TENDER DENTAL BOULDER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TENDER DENTAL MANAGEMENT, LLC
- **Other names:** Silver Stream Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215467295
- **Legal business name:** TENDER DENTAL MANAGEMENT, LLC
- **Authorized official:** DR. MICHAEL LAWRENCE SHERMAN (CLINICAL DIRECTOR)
- **Authorized official phone:** (631) 806-1275

## Contact information

- **Practice address:** 5230 BOULDER HWY STE 130, LAS VEGAS, NV 89122-6079
- **Practice address phone:** (702) 851-6724
- **Mailing address:** 5230 BOULDER HWY STE 130, LAS VEGAS, NV 89122-6079
- **Mailing address phone:** (702) 851-6724

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 02/04/2022