Organization
WOW DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY WHITE (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
2050 E SERENE AVE, LAS VEGAS, NV 89123-4820
(877) 681-0881
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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