Organization
CELEBRACES DECATUR LOVELAND PLLC
Active
Other names
Celebrate Dental and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANNA FERRALL (ORTHODONTIC TREATMENT COORDINATOR)
(562) 397-9279
Entity
Organization
Contact information
Practice address
4880 W FLAMINGO RD, LAS VEGAS, NV 89103-3704
(702) 687-7000
(702) 947-6655
Mailing address
4880 W FLAMINGO RD, LAS VEGAS, NV 89103-3704
(702) 687-7000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750896783
NPPES
—
Enumeration date
02/27/2020
Last updated
03/13/2020
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