Organization
NORTHERN NEVADA SPECIALTY PRADA, PLLC
Active
Parent organization
ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLC
Other names
Absolute Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLC
Authorized official
PATRICIA PRADA DDS (MEMBER)
(775) 787-8900
Entity
Organization
Contact information
Practice address
6490 S. MCCARRAN BLVD. #17 & #18, LAST VEGAS, NV 89509
(775) 829-8901
Mailing address
526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
(702) 435-5015
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
NV20151700649
NV
1223P0221X
Pediatric Dentistry
Primary
NV20151700649
NV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
NV20151700649
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
NV20151700649
NV
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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