# NEVADA DENTAL PROFESSIONAL, QUIRT, GATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEVADA DENTAL PROFESSIONAL,QUIRT,GATES,P
- **Other names:** Galleria Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821014382
- **Legal business name:** NEVADA DENTAL PROFESSIONAL,QUIRT,GATES,P
- **Authorized official:** KIM ZUBER (CRED SUP.)
- **Authorized official phone:** (217) 540-5170

## Contact information

- **Practice address:** 1399 GALLERIA DRIVE, SUITE 200, HENDERSON, NV 89014-6664
- **Practice address phone:** (702) 433-0007
- **Practice address fax:** (702) 435-4618
- **Mailing address:** 1399 GALLERIA DRIVE, SUITE 200, HENDERSON, NV 89014-6664
- **Mailing address phone:** (702) 433-0007
- **Mailing address fax:** (702) 435-4618

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 11/25/2015