Organization
ENHANCE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE ANNE STARK D.D.S. (DENTIST)
(702) 437-1007
Entity
Organization
Contact information
Practice address
1215 S FORT APACHE RD STE 230, LAS VEGAS, NV 89117-5491
(702) 437-1007
Mailing address
1215 S FORT APACHE RD STE 230, LAS VEGAS, NV 89117-5491
(702) 437-1007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3585
NV
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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