Organization
EASTERN HILL FAMILY DENTAL LLC
Active
Other names
Just For Kids Dentistry, Eastern Hills Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUE SHELL (CREDENTIALING SPECIALIST)
(702) 218-2713
Entity
Organization
Contact information
Practice address
5905 S EASTERN AVE STE 112, LAS VEGAS, NV 89119-3130
(702) 262-5693
(702) 507-6450
Mailing address
5905 S EASTERN AVE STE 112, LAS VEGAS, NV 89119-3130
(702) 262-5693
(702) 507-6450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5876
NV
Other
Enumeration date
07/31/2017
Last updated
11/28/2017
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