# BOULDER DENTAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Absolute Dental Kids & Braces
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245677152
- **Authorized official:** GURBRINDER DHILLON (OWNER)
- **Authorized official phone:** (702) 435-5015

## Contact information

- **Practice address:** 6325 E RUSSELL RD, \#100, LAS VEGAS, NV 89122-7069
- **Practice address phone:** (702) 227-6588
- **Practice address fax:** (702) 382-4469
- **Mailing address:** 526 S TONOPAH DR, \#200, LAS VEGAS, NV 89106-4043
- **Mailing address phone:** (702) 435-5015
- **Mailing address fax:** (702) 366-1483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | S6-81 | NY | Yes |

## Other

- **Enumeration date:** 05/31/2013
- **Last updated:** 05/31/2013