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Organization
HARMON AND OTTESON DENTAL DECATUR LLC
Active
Organization
HARMON AND OTTESON DENTAL DECATUR LLC
Active
Other names
Reflection Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA EBERT (COO)
(765) 669-1254
Entity
Organization
Contact information
Practice address
4001 S DECATUR BLVD STE 42, LAS VEGAS, NV 89103-5860
(702) 825-6887
Mailing address
8217 SWAN LAKE AVE, LAS VEGAS, NV 89128-7411
(765) 669-1254
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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