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Organization

ENCHANTING LLC

Active
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Organization

ENCHANTING LLC

Active
Other names
Affordable Dental
Organization subpart
No

Provider details

NPI number
Authorized official
ROLAND PISCHINGER (INSURANCE DEPARTMENT MANAGER)
(702) 522-2028
Entity
Organization

Contact information

Practice address
3880 W LAKE MEAD BLVD STE 100, N LAS VEGAS, NV 89032
(702) 399-8888
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
08/05/2008
Last updated
06/01/2018
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