Organization
IMPLANTS DENTURES & DENTAL, INC
Active
Other names
Half Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON M DHAENENS (DIRECTOR)
(702) 876-2525
Entity
Organization
Contact information
Practice address
2605 S DECATUR BLVD, STE 116, LAS VEGAS, NV 89102-8591
(702) 876-2525
(602) 297-6870
Mailing address
2605 S DECATUR BLVD, STE 116, LAS VEGAS, NV 89102-8591
(702) 876-2525
(602) 297-6870
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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