Organization
PEDAITRIC DENTAL ASSOCIATES
Active
Other names
Star Smile Children Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY A WILSON D.D.S (OWNER)
(702) 270-3047
Entity
Organization
Contact information
Practice address
7250 S DURANGO DR, LAS VEGAS, NV 89113-2241
(702) 270-3047
(702) 614-0548
Mailing address
7250 S DURANGO DR, LAS VEGAS, NV 89113-2241
(702) 270-3047
(702) 614-0548
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NV
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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