Organization
LUCKOOR QUEENSRIDGE MODERN DENTISTRY, PC
Active
Other names
Queensridge Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SALONI LUCKOOR DMD (OWNER)
(702) 425-3060
Entity
Organization
Contact information
Practice address
10040 ALTA DRIVE STE 100, LAS VEGAS, NV 89145
(702) 425-3060
(702) 425-3028
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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