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Organization
HARMON AND OTTESON DENTAL BONANZA LLC
Active
Organization
HARMON AND OTTESON DENTAL BONANZA LLC
Active
Other names
Silver Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA M EBERT (OPERATIONS PARTNER)
(765) 669-1254
Entity
Organization
Contact information
Practice address
2337 E BONANZA RD STE 3, LAS VEGAS, NV 89101-3418
(702) 307-2273
Mailing address
2337 E BONANZA RD STE 3, LAS VEGAS, NV 89101-3418
(702) 307-2273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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