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Organization
BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Active
Organization
BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Active
Other names
CSN - Dental Faculty Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA L. MARION (CLINICAL SERVICES MANAGER)
(702) 651-5514
Entity
Organization
Contact information
Practice address
6375 W CHARLESTON BLVD STE A500, LAS VEGAS, NV 89146-1168
(702) 651-5514
(702) 651-7383
Mailing address
6375 W CHARLESTON BLVD STE A500, LAS VEGAS, NV 89146-1168
(702) 651-5514
(702) 651-7383
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
07/23/2008
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