Organization
BETTENCOURT SKIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM S BETTENCOURT MD (OWNER)
(702) 257-7546
Entity
Organization
Contact information
Practice address
601 WHITNEY RANCH DR BLDG C STE 13, HENDERSON, NV 89014-2643
(702) 257-7546
(702) 870-4824
Mailing address
601 WHITNEY RANCH DR BLDG C STE 13, HENDERSON, NV 89014-2643
(702) 257-7546
(702) 870-4824
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10084
NV
Other
Enumeration date
10/23/2006
Last updated
12/12/2007
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