Organization
MRDNTD LLC
Active
Other names
Gardens Cosmetic & Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. JOHN SOUMI DDS (MANAGER)
(702) 869-5700
Entity
Organization
Contact information
Practice address
3575 S. TOWN CENTER DR., SUITE 120, LAS VEGAS, NV 89135
(702) 869-5700
(702) 869-6657
Mailing address
3575 S. TOWN CENTER DR., #120, LAS VEGAS, NV 89135
(702) 869-5700
(702) 869-6657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3502
NV
Other
Enumeration date
12/01/2008
Last updated
01/19/2011
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