# NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
- **Other names:** Elan Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689970576
- **Legal business name:** NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
- **Authorized official:** CARMEN WOODS (INSURANCE COORDINATOR)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 2931 N TENAYA WAY STE 206, LAS VEGAS, NV 89128-0458
- **Practice address phone:** (702) 228-7575
- **Practice address fax:** (702) 240-6373
- **Mailing address:** 2931 N TENAYA WAY STE 206, LAS VEGAS, NV 89128-0458
- **Mailing address phone:** (702) 228-7575
- **Mailing address fax:** (702) 240-6373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2011
- **Last updated:** 09/26/2022