# VEGAS CHOICE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peter S Balle DDS LTD, Vegas Choice Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831905116
- **Authorized official:** ISABELLA BALLE (OFFICE MANAGER)
- **Authorized official phone:** (702) 877-6608

## Contact information

- **Practice address:** 2801 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1965
- **Practice address phone:** (702) 877-6608
- **Mailing address:** 2801 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1965
- **Mailing address phone:** (702) 877-6608

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2024
- **Last updated:** 12/10/2024