Organization
DESERT ORTHODONTICS & PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANNE CUNDARI (BUSINESS MANAGER)
(702) 947-7700
Entity
Organization
Contact information
Practice address
390 N STEPHANIE ST, SUITE 104, HENDERSON, NV 89014-8028
(702) 947-7700
(702) 852-0963
Mailing address
390 N STEPHANIE ST, SUITE 104, HENDERSON, NV 89014-8028
(702) 947-7700
(702) 852-0963
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
S6-113C
NV
1223P0221X
Pediatric Dentistry
S622
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S350
NV
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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