# ENHANCED COSMETIC AND IMPLANT DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Enhanced Cosmetic and Implant Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942929898
- **Authorized official:** JENNIFER GARDEL (INSURANCE MANAGER)
- **Authorized official phone:** (702) 224-2762

## Contact information

- **Practice address:** 340 E WARM SPRINGS RD STE 100, LAS VEGAS, NV 89119-4283
- **Practice address phone:** (725) 765-9500
- **Practice address fax:** (702) 541-9849
- **Mailing address:** 2840 E FLAMINGO RD STE G, LAS VEGAS, NV 89121-5202
- **Mailing address phone:** (702) 224-2762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2022
- **Last updated:** 08/24/2022