Organization
HARMON AND OTTESON DENTAL BONANZA LLC
Active
Other names
Silver Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA M EBERT (OPERATIONS PARTNER)
(765) 669-1254
Entity
Organization
Contact information
Practice address
2337 E BONANZA RD STE 3, LAS VEGAS, NV 89101-3418
(702) 307-2273
Mailing address
2337 E BONANZA RD STE 3, LAS VEGAS, NV 89101-3418
(702) 307-2273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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