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Organization
PARADISE DENTAL CLINIC
Active
Organization
PARADISE DENTAL CLINIC
Active
Parent organization
CHILDREN'S CARE INTERNATIONAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S CARE INTERNATIONAL
Authorized official
MRS. ELIZABETH RAZO ADMINISTRATION (OFFICE MANAGER)
(702) 272-1100
Entity
Organization
Contact information
Practice address
1750 WHEELER PEAK DR, LAS VEGAS, NV 89106-2150
(702) 272-1100
(702) 998-0675
Mailing address
1750 WHEELER PEAK DR, LAS VEGAS, NV 89106-2150
(702) 272-1100
(702) 998-0675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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