Organization
GO KIDS DENTAL NORTH DECATUR, LLC
Active
Parent organization
GO KIDS DENTAL NORTH DECATUR, LLC
Other names
Go Kids Dental & Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
GO KIDS DENTAL NORTH DECATUR, LLC
Authorized official
DEEP KARAN DHILLON (DENTIST)
(702) 522-0119
Entity
Organization
Contact information
Practice address
6311 N DECATUR BLVD STE 140, LAS VEGAS, NV 89130-8013
(702) 522-0119
Mailing address
6311 N DECATUR BLVD STE 140, LAS VEGAS, NV 89130-8013
(702) 522-0119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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