Organization
GLENN E. HURST DDS A PROFESSIONAL CORPORATION
Active
Other names
HURST FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN E HURST DDS (PRESIDENT)
(702) 897-1120
Entity
Organization
Contact information
Practice address
7325 S PECOS RD, SUITE 101, LAS VEGAS, NV 89120
(702) 897-1120
(702) 897-4624
Mailing address
7325 S PECOS RD, SUITE 101, LAS VEGAS, NV 89120
(702) 897-1120
(702) 897-4624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
535809
UNITED CONCORDIA
NV
Enumeration date
06/06/2007
Last updated
07/27/2016
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