Organization
BOARD OF REGENTS, NEVADA SYSTEM OF HIGHER EDUCATION
Active
Other names
University of Nevada, Las Vegas School of Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMELIA YOLANDA MOLOCHE DELEGATED OFFICIAL (CREDENTIALING MANAGER)
(702) 774-2661
Entity
Organization
Contact information
Practice address
1700 W CHARLESTON BLVD BLDG A, LAS VEGAS, NV 89102-2335
(702) 774-2400
(702) 774-2499
Mailing address
1001 SHADOW LN # MS 7413, LAS VEGAS, NV 89106-4124
(702) 774-2661
(702) 774-2610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
04/09/2020
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