Organization
KIDS CHOICE PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE IBEAWUCHI (CONSULTING MANAGER)
(904) 265-0765
Entity
Organization
Contact information
Practice address
5680 W FLAMINGO RD STE A, LAS VEGAS, NV 89103-2339
(702) 876-3222
Mailing address
5680 W FLAMINGO RD STE A, LAS VEGAS, NV 89103-2339
(702) 876-3222
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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