Organization
GKD GALAXY LLC
Active
Other names
Galaxy Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA LALANDE CORDOVA DMD MSD (MEMBER)
(702) 254-8858
Entity
Organization
Contact information
Practice address
9575 W TROPICANA AVE STE 5, LAS VEGAS, NV 89147-8491
(702) 633-8331
Mailing address
3600 N BUFFALO DR STE 110, LAS VEGAS, NV 89129-7462
(702) 254-8858
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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