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Organization

ERNESTO BARBOSA DMD, P.C.

Active
Parent organization
ERNESTO BARBOSA DMD, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
ERNESTO BARBOSA DMD, P.C.
Authorized official
ERNESTO BARBOSA (OWNER)
(702) 278-0876
Entity
Organization

Contact information

Practice address
1264 S NELLIS BLVD, LAS VEGAS, NV 89104-5782
(702) 243-2489
(702) 438-4428
Mailing address
1264 S NELLIS BLVD, LAS VEGAS, NV 89104-5782
(702) 243-2489
(702) 438-4428

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6060
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
8361
NV

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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