Organization
MODELO DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTHA O. ALARCON D.D.S (COE)
(702) 436-6186
Entity
Organization
Contact information
Practice address
4660 S EASTERN AVE STE 101, LAS VEGAS, NV 89119-6138
(702) 436-6186
(702) 436-3276
Mailing address
4660 S EASTERN AVE STE 101, LAS VEGAS, NV 89119-6138
(702) 436-6186
(702) 436-3276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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