# WARM SPRINGS DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669524500
- **Authorized official:** DR. ROBERT WILFORD NISSON DDS (OFFICER IN CORPORATION)
- **Authorized official phone:** (702) 454-0818

## Contact information

- **Practice address:** 1525 W WARM SPRINGS RD, SUITE \#100, HENDERSON, NV 89014-4316
- **Practice address phone:** (702) 454-0818
- **Practice address fax:** (702) 454-3716
- **Mailing address:** 1525 W WARM SPRINGS RD, SUITE \#100, HENDERSON, NV 89014-4316
- **Mailing address phone:** (702) 454-0818
- **Mailing address fax:** (702) 454-3716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10386 | NV | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020