# DESERT DENTAL ASSOCIATES IV, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DESERT DENTAL ASSOCIATES, IV, LLC
- **Other names:** Maddison Ave Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861720864
- **Legal business name:** DESERT DENTAL ASSOCIATES, IV, LLC
- **Authorized official:** MATTHEW WELEBIR DDS (OWNER- DENTIST)
- **Authorized official phone:** (702) 953-2239

## Contact information

- **Practice address:** 4358 W. CHYENNE AVE., NORTH LAS VEGAS, NV 89032
- **Practice address phone:** (702) 953-2239
- **Practice address fax:** (702) 990-0304
- **Mailing address:** 4358 W. CHYENNE AVE., NORTH LAS VEGAS, NV 89032
- **Mailing address phone:** (702) 953-2239
- **Mailing address fax:** (702) 990-0304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2009
- **Last updated:** 12/02/2009