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Organization
WILLIAM E, URSICK, GEMINI DENTAL
Active
Organization
WILLIAM E, URSICK, GEMINI DENTAL
Active
Other names
Oasis Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAMALA MCCOOK CASSANOVA (GROUP MANAGER)
(702) 369-0021
Entity
Organization
Contact information
Practice address
2110 E FLAMINGO RD, SUITE 315, LAS VEGAS, NV 89119-5190
(702) 369-0021
(702) 369-9644
Mailing address
2110 E FLAMINGO RD, SUITE 315, LAS VEGAS, NV 89119-5190
(702) 369-0021
(702) 369-9644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0987
NV
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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