Individual
EDGAR BETANCOURT-PREVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1001 WHITNEY RANCH DR, SUITE 110, HENDERSON, NV 89014-3098
(702) 233-2787
Mailing address
3000 HIGH VIEW DR APT 1824, HENDERSON, NV 89014-3799
(917) 400-5579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6403
NV
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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