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Organization
THE DENTAL DIFFERENCE LLC
Active
Organization
THE DENTAL DIFFERENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELE EDWARDS (MANAGER)
(702) 998-7400
Entity
Organization
Contact information
Practice address
1264 S NELLIS BLVD, LAS VEGAS, NV 89104-5782
(702) 998-7400
(702) 944-7970
Mailing address
1264 S NELLIS BLVD, LAS VEGAS, NV 89104-5782
(702) 998-7400
(702) 944-7970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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