Organization
HALE PRACTICE SOLUTIONS
Active
Other names
green valley dentalcare
Organization subpart
No
Provider details
NPI number
Authorized official
LETTI HALE DDSA (OWNER)
(170) 251-0763
Entity
Organization
Contact information
Practice address
2213 N GREEN VALLEY PKWY STE 102, HENDERSON, NV 89014-5077
(702) 547-6453
(702) 547-6452
Mailing address
2213 N GREEN VALLEY PKWY STE 102, HENDERSON, NV 89014-5077
(702) 547-6453
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659493997
—
NV
Enumeration date
07/25/2022
Last updated
07/25/2022
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