Organization
MARICONDIA DENTAL PC
Active
Other names
AQ Dentures
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WHITE (FRONT DESK)
(702) 565-6000
Entity
Organization
Contact information
Practice address
349 W LAKE MEAD PKWY, HENDERSON, NV 89015
(702) 565-6000
(702) 565-0474
Mailing address
349 W LAKE MEAD PKWY, HENDERSON, NV 89015-7029
(702) 565-6000
(702) 565-0474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4092
NV
Other
Enumeration date
03/17/2014
Last updated
05/17/2023
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