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Organization
GREEN VALLEY DENTAL PARTNERS
Active
Organization
GREEN VALLEY DENTAL PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN WELCH DMD (MANAGING MEMBER)
(702) 371-0221
Entity
Organization
Contact information
Practice address
223 N PECOS RD STE 130, HENDERSON, NV 89074-7362
(702) 371-0221
Mailing address
10420 S DECATUR BLVD STE 110, LAS VEGAS, NV 89141-8718
(702) 371-0221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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