Organization
G BRENT DENNIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BRENT DENNIS (OWNER)
(702) 683-3880
Entity
Organization
Contact information
Practice address
2775 SACRED CT, HENDERSON, NV 89052-4502
(702) 683-3880
(702) 293-5168
Mailing address
2775 SACRED CT, HENDERSON, NV 89052-4502
(170) 268-3388
(702) 293-5168
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PYO312
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002602039
—
NV
Enumeration date
10/11/2007
Last updated
10/25/2018
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