Organization
AQUA DENTAL GROUP LLC
Active
Other names
A Plus Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEILA KHOSSOOSI DDS (MANAGER)
(702) 522-9192
Entity
Organization
Contact information
Practice address
2500 WIGWAM PKWY STE 110, HENDERSON, NV 89074-7113
(702) 522-9192
Mailing address
2285 E FLAMINGO RD STE 101, LAS VEGAS, NV 89119-5114
(702) 522-9192
(888) 299-5749
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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