# PACIFIC DENTAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336541101
- **Authorized official:** DR. BRYCE SPENCER HASLAM DDS (GENERAL DENTIST)
- **Authorized official phone:** (702) 425-4424

## Contact information

- **Practice address:** 4380 BLUE DIAMOND RD STE 102, LAS VEGAS, NV 89139-7786
- **Practice address phone:** (702) 425-4424
- **Mailing address:** 4380 BLUE DIAMOND RD STE 102, LAS VEGAS, NV 89139-7786
- **Mailing address phone:** (702) 425-4424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6531 | NV | Yes |

## Other

- **Enumeration date:** 09/23/2014
- **Last updated:** 09/23/2014