Organization
MEDICAL AND DENTAL CENTER OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
4275 BURNHAM AVE STE 101, LAS VEGAS, NV 89119-5400
(702) 489-3555
Mailing address
4275 BURNHAM AVE STE 101, LAS VEGAS, NV 89119-5400
(702) 489-3555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
12/11/2023
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