Organization
HARMON AND OTTESON DENTAL DECATUR LLC
Active
Other names
Reflection Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA EBERT (COO)
(765) 669-1254
Entity
Organization
Contact information
Practice address
4001 S DECATUR BLVD STE 42, LAS VEGAS, NV 89103-5860
(702) 825-6887
Mailing address
8217 SWAN LAKE AVE, LAS VEGAS, NV 89128-7411
(765) 669-1254
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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