Individual
DR. PRASHANTI BOLLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S., M.B.A.
Contact information
Practice address
1450 W HORIZON RIDGE PKWY STE B308-309, HENDERSON, NV 89012-4477
(702) 703-0102
(702) 723-6773
Mailing address
771 GLOWING HORIZON ST, HENDERSON, NV 89052-8743
(617) 849-0751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5790
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-228
NV
Other
Enumeration date
05/19/2009
Last updated
02/27/2026
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