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Organization

ERIC V. LAC DMD LTD

Active
Other names
SmileCity Henderson
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC V LAC D.M.D. (DENTIST)
(702) 648-0011
Entity
Organization

Contact information

Practice address
40 N VALLE VERDE DR, STE 140, HENDERSON, NV 89074-1776
(702) 648-0011
(702) 364-0011
Mailing address
192 CLIFF VALLEY DR, LAS VEGAS, NV 89148-2707
(702) 648-0011
(702) 364-0011

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4563
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100513109
NV
Enumeration date
03/30/2009
Last updated
03/30/2009
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