Organization
SUNRISE MOUNTAIN DENTAL AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTI FARR (OFFICE MANAGER)
(435) 628-0511
Entity
Organization
Contact information
Practice address
256 E LAKE MEAD PKWY STE C, HENDERSON, NV 89015-5585
(702) 703-5410
Mailing address
772 N DIXIE DR STE 101, ST GEORGE, UT 84770-7444
(435) 628-0511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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