Organization
KING RAMPART DENTAL GROUP, PC
Active
Other names
Rampart Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BREANNA M KING DMD (OWNER DENTIST)
(702) 290-4212
Entity
Organization
Contact information
Practice address
8975 W CHARLESTON BLVD, 100, LAS VEGAS, NV 89117-5470
(702) 290-4212
(702) 228-2907
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
01/21/2016
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