Organization
BONANZA DENTAL PARTNERS
Active
Other names
Boca Dental and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA J CAZZALY DIANA CAZZALY (OFFICE MANAGER)
(702) 960-4484
Entity
Organization
Contact information
Practice address
556 N EASTERN AVE STE I, LAS VEGAS, NV 89101-3453
(702) 960-4484
(702) 987-3040
Mailing address
556 N EASTERN AVE STE I, LAS VEGAS, NV 89101-3453
(702) 960-4484
(702) 987-3040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
06/16/2018
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