Organization
PROVIDENCE ORTHODONTICS DHILLON PLLC
Active
Other names
West Henderson Dental & Orthodontics, Buffalo 215 Dental & Orthodontics, Edge Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LORICK (CREDENTIALING SPECIALIST)
(704) 806-3632
Entity
Organization
Contact information
Practice address
7181 N HUALAPAI WAY, 105, LAS VEGAS, NV 89166-1115
(702) 852-1818
(702) 947-5088
Mailing address
7181 N HUALAPAI WAY, 105, LAS VEGAS, NV 89166-1115
(702) 852-1818
(702) 947-5088
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S681
NV
Other
Enumeration date
02/24/2017
Last updated
02/20/2023
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