Organization
MONICA PONCE, DDS, A PROFESSIONAL CORPORATION
Active
Other names
Delicate Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA RENEE PONCE DDS (OWNER AND PROVIDER)
(702) 806-7439
Entity
Organization
Contact information
Practice address
9450 WEST RUSSELL RD, SUITE #103, LAS VEGAS, NV 89148
(702) 827-2200
(705) 570-3424
Mailing address
8036 BARNDANCE CT, LAS VEGAS, NV 89149-4754
(702) 806-7439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174598882
—
NV
Enumeration date
03/12/2020
Last updated
03/08/2023
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