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Organization
BOULDER DENTAL GROUP, LLC
Active
Organization
BOULDER DENTAL GROUP, LLC
Active
Other names
Absolute Dental Kids & Braces
Organization subpart
No
Provider details
NPI number
Authorized official
GURBRINDER DHILLON (OWNER)
(702) 435-5015
Entity
Organization
Contact information
Practice address
6325 E RUSSELL RD, #100, LAS VEGAS, NV 89122-7069
(702) 227-6588
(702) 382-4469
Mailing address
526 S TONOPAH DR, #200, LAS VEGAS, NV 89106-4043
(702) 435-5015
(702) 366-1483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
S6-81
NY
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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