Organization
LUTH & HEIDIEMAN CENTER FOR DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI A PROVOST (OFFICE MANAGER)
(702) 304-1902
Entity
Organization
Contact information
Practice address
6950 W SMOKE RANCH ROAD #150, LAS VEGAS, NV 89128
(702) 304-1902
(702) 304-1909
Mailing address
6950 W SMOKE RANCH ROAD #150, LAS VEGAS, NV 89128
(702) 304-1902
(702) 304-1909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4801
NV
1223G0001X
General Practice Dentistry
Primary
4845
NV
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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