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Organization
HENDERSON SUNRISE NIELSON PDC PLLC
Active
Organization
HENDERSON SUNRISE NIELSON PDC PLLC
Active
Other names
Sunrise Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
1550 W HORIZON RIDGE PKWY STE S, HENDERSON, NV 89012-3605
(702) 270-8880
Mailing address
355 S 520 W STE 250, LINDON, UT 84042-1976
(801) 304-3460
(801) 355-6551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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