Organization
COAST DENTAL OF NEVADA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE FINNELL (DIRECTOR OF CREDENTIALING)
(813) 350-7160
Entity
Organization
Contact information
Practice address
1420 E HIGHWAY 372, PAHRUMP, NV 89048
(813) 288-1999
Mailing address
4010 W BOY SCOUT BLVD, SUITE 1100, TAMPA, FL 33607-5727
(813) 288-1999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NV
Other
Enumeration date
01/05/2012
Last updated
05/31/2018
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