Organization
ABLE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROCHELLE NAOMI GASPER (OFFICE MANAGER)
(702) 812-8525
Entity
Organization
Contact information
Practice address
3211 N TENAYA WAY STE 122, LAS VEGAS, NV 89129-7440
(702) 641-2300
(702) 641-2323
Mailing address
3211 N TENAYA WAY STE 122, LAS VEGAS, NV 89129-7440
(702) 641-2300
(702) 641-2323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4817
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679660484
—
NV
Enumeration date
05/06/2009
Last updated
05/06/2009
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