Organization
CLEMENT RAINBOW MODERN DENTISTRY, PC
Active
Other names
Rainbow Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CLEMENT (OWNER/DMD)
(701) 601-2196
Entity
Organization
Contact information
Practice address
3675 S RAINBOW BLVD STE 105, LAS VEGAS, NV 89103-1059
(702) 602-2196
(702) 444-2325
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
02/21/2023
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