Organization
TENDER DENTAL BOULDER, LLC
Active
Parent organization
TENDER DENTAL MANAGEMENT, LLC
Other names
Silver Stream Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENDER DENTAL MANAGEMENT, LLC
Authorized official
DR. MICHAEL LAWRENCE SHERMAN (CLINICAL DIRECTOR)
(631) 806-1275
Entity
Organization
Contact information
Practice address
5230 BOULDER HWY STE 130, LAS VEGAS, NV 89122-6079
(702) 851-6724
Mailing address
5230 BOULDER HWY STE 130, LAS VEGAS, NV 89122-6079
(702) 851-6724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
02/04/2022
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