Organization
RAINBOW DENTAL PARTNERS LLC
Active
Other names
Boca Dental and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA JESSENIA CAZZALY (GENERAL MANAGER OF OPORATIONS)
(702) 456-0005
Entity
Organization
Contact information
Practice address
3163 N RAINBOW BLVD, LAS VEGAS, NV 89108-4578
(702) 805-1178
(702) 763-8885
Mailing address
4750 W SAHARA AVE STE 12, LAS VEGAS, NV 89102-3559
(702) 456-0005
(702) 763-8885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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