Organization
BRIAN G SANFORD, DDS., LTD
Active
Other names
Green Valley Smile Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2551 N GREEN VALLEY PKWY STE C301, HENDERSON, NV 89014-0272
(702) 451-8181
(702) 451-1766
Mailing address
2551 N GREEN VALLEY PKWY STE C301, HENDERSON, NV 89014-0272
(702) 451-8181
(702) 451-1766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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