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Organization
TENDER DENTAL BONANZA, LLC
Active
Organization
TENDER DENTAL BONANZA, LLC
Active
Other names
Silver Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LAWRENCE SHERMAN (CLINICAL DIRECTOR)
(631) 806-1275
Entity
Organization
Contact information
Practice address
5001 E BONANZA RD STE 160, LAS VEGAS, NV 89110-3560
(702) 307-2273
Mailing address
5001 E BONANZA RD STE 160, LAS VEGAS, NV 89110-3560
(702) 307-2273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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