Organization
TENDER DENTAL BONANAZA, LLC
Active
Parent organization
TENDER DENTAL MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENDER DENTAL MANAGEMENT, LLC
Authorized official
JONG UM DDS (PRESIDENT)
(860) 325-0022
Entity
Organization
Contact information
Practice address
5001 E BONANZA RD STE 160, LAS VEGAS, NV 89110-3560
(860) 325-0022
Mailing address
301 COMMONS PARK S UNIT 618, STAMFORD, CT 06902-7088
(860) 491-6972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6883
NV
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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