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Organization
NEW IMAGE DENTAL OF NEVADA LLC
Active
Organization
NEW IMAGE DENTAL OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEANCA JHANINE MULATO SAMIANO DMD (OWNER/MANAGING MEMBER)
(702) 985-7939
Entity
Organization
Contact information
Practice address
3885 S DECATUR BLVD STE 1100, LAS VEGAS, NV 89103-5872
(702) 838-3311
Mailing address
2647 INFINITY BAY CT, LAS VEGAS, NV 89146-5314
(702) 985-7939
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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