Organization
H&B PEDIATRIC DENTISTRY LLC
Active
Other names
Mountain's Edge Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD JAMES BAGGALEY DMD (MANAGING MEMBER)
(702) 496-6777
Entity
Organization
Contact information
Practice address
8520 BLUE DIAMOND RD STE 130, LAS VEGAS, NV 89178-9297
(702) 496-6777
Mailing address
5705 CENTENNIAL CENTER BLVD STE 140, LAS VEGAS, NV 89149-7129
(702) 496-6777
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-107
NV
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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