Organization
FLAMINGO RD NIELSON PDC PLLC
Active
Other names
Kohlmeyer Dental of Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
5680 W FLAMINGO RD STE B, LAS VEGAS, NV 89103-2339
(702) 367-1499
(702) 367-2531
Mailing address
727 E UTAH VALLEY DR, AMERICAN FORK, UT 84003-3345
(801) 305-3460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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