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Organization
CLEMENT RAINBOW MODERN DENTISTRY, PC
Active
Organization
CLEMENT RAINBOW MODERN DENTISTRY, PC
Active
Other names
Rainbow Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CLEMENT (OWNER/DMD)
(701) 601-2196
Entity
Organization
Contact information
Practice address
3675 S RAINBOW BLVD STE 105, LAS VEGAS, NV 89103-1059
(702) 602-2196
(702) 444-2325
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
02/21/2023
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