Organization
NEVADA ORTHODONTIC CARE, LLC
Active
Other names
Nevada Orthodontic Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RANDLE DDS (DOCTOR)
(801) 541-9504
Entity
Organization
Contact information
Practice address
2600 S RAINBOW BLVD, 101, LAS VEGAS, NV 89146-4006
(702) 733-7645
Mailing address
2600 S RAINBOW BLVD, 101, LAS VEGAS, NV 89146-4006
(702) 733-7645
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4332
NV
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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