# MONICA PONCE, DDS, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delicate Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568098309
- **Authorized official:** DR. MONICA RENEE PONCE DDS (OWNER AND PROVIDER)
- **Authorized official phone:** (702) 806-7439

## Contact information

- **Practice address:** 9450 WEST RUSSELL RD, SUITE \#103, LAS VEGAS, NV 89148
- **Practice address phone:** (702) 827-2200
- **Practice address fax:** (705) 570-3424
- **Mailing address:** 8036 BARNDANCE CT, LAS VEGAS, NV 89149-4754
- **Mailing address phone:** (702) 806-7439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/12/2020
- **Last updated:** 03/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1174598882 | — | NV |