Organization
KDS SAFARI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA LALANDE CORDOVA DMD MSD (MANAGING MEMBER)
(702) 254-8858
Entity
Organization
Contact information
Practice address
2381B RENAISSANCE DR, LAS VEGAS, NV 89119-6498
(702) 786-6684
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
10/03/2023
Last updated
10/03/2023
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