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Organization
SAHARA DENTAL PARTNERS LLC
Active
Organization
SAHARA DENTAL PARTNERS LLC
Active
Other names
Boca Dental and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT DANNELS DDS (OWNER)
(702) 456-0005
Entity
Organization
Contact information
Practice address
4750 W SAHARA AVE STE 11, LAS VEGAS, NV 89102-3559
(702) 456-0005
Mailing address
556 N EASTERN AVE STE I, LAS VEGAS, NV 89101-3453
(702) 960-4484
(702) 987-3040
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6743
NV
Other
Enumeration date
05/09/2018
Last updated
06/16/2018
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