Organization
ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA PRADA DDS (MEMBER)
(702) 733-0888
Entity
Organization
Contact information
Practice address
8380 W CHEYENNE AVE STE 104, LAS VEGAS, NV 89129-2175
(702) 733-0888
(702) 395-8718
Mailing address
526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
(702) 291-2031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
S6-33C
NV
1223P0221X
Pediatric Dentistry
S6-33C
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S6-33C
NV
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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