Organization
BEAUTI' DEN CROWN RESTORATION CLINIC
Active
Other names
Beauti' Den Crown Restoration Clinic, Beauti Den
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI PENNINGTON (PRESIDENT)
(702) 351-0502
Entity
Organization
Contact information
Practice address
9850 S MARYLAND PKWY # 503, LAS VEGAS, NV 89183-7146
(702) 351-0502
Mailing address
9850 S MARYLAND PKWY # 503, LAS VEGAS, NV 89183-7146
(702) 351-0502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104456557
CRANIAL PROTHESIS
NV
01
—
1609300011
INSURANCE
NV
Enumeration date
01/23/2020
Last updated
04/29/2026
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