Organization
NEW IMAGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUNEET BRAR DMD (DENTIST)
(414) 446-0272
Entity
Organization
Contact information
Practice address
3885 S DECATUR BLVD STE 1100, LAS VEGAS, NV 89103-5872
(702) 838-3311
Mailing address
3885 S DECATUR BLVD, LAS VEGAS, NV 89103-5855
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
NV
Enumeration date
08/08/2018
Last updated
08/08/2018
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