Organization
ELLSWORTH COX NV SPECIALTY DENTAL SERVICES, PLLC
Active
Parent organization
ELLSWORTH COX NV SPECIALTY DENTAL SERVICES, PLLC
Other names
Leaver & Gardner Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLSWORTH COX NV SPECIALTY DENTAL SERVICES, PLLC
Authorized official
CHARLOTTE DASCH (DIREC OF CRED AND PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
5765 CENTENNIAL CENTER BLVD STE 110, LAS VEGAS, NV 89149-7125
(702) 878-0764
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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