Organization
LONE MOUNTAIN FAMILY DENTAL
Active
Other names
Lone Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA DAVID ETMAN DDS (PRESIDENT/ DOCTOR)
(702) 655-9533
Entity
Organization
Contact information
Practice address
4818 W LONE MOUNTAIN RD, LAS VEGAS, NV 89130-2239
(702) 655-9533
(702) 655-9565
Mailing address
4818 W LONE MOUNTAIN RD, LAS VEGAS, NV 89130-2239
(702) 655-9533
(702) 655-9565
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
6547
NV
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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