Organization
COAST DENTAL OF NEVADA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE FINNELL (DIRECTOR OF INS. AND CREDENTIALING)
(813) 288-1999
Entity
Organization
Contact information
Practice address
2047 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89102
(813) 288-1999
Mailing address
4010 W BOY SCOUT BLVD, SUITE 1100, TAMPA, FL 33607-5727
(813) 288-1999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NV
Other
Enumeration date
01/05/2012
Last updated
05/31/2018
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