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Organization
BOSTON DENTAL AT ANTHEM LLC
Active
Organization
BOSTON DENTAL AT ANTHEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROALND PISCHINGER (INSURANCE DEPARTMENT MANAGER)
(702) 522-2028
Entity
Organization
Contact information
Practice address
2870 BICENTENNIAL PKWY STE 120, HENDERSON, NV 89044
(702) 522-2277
Mailing address
2101 S JONES BLVD STE 140, LAS VEGAS, NV 89146-3133
(702) 522-2269
(702) 990-8856
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
05/31/2018
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