Organization
BD LAS VEGAS LLC
Active
Other names
Divine dental of las vegas
Organization subpart
No
Provider details
NPI number
Authorized official
ESMAEL VALDEZ DDS (OWNER)
(505) 603-9143
Entity
Organization
Contact information
Practice address
2500 7TH ST STE H, LAS VEGAS, NM 87701-4947
(505) 454-8483
Mailing address
2500 7TH ST STE H, LAS VEGAS, NM 87701-4947
(505) 454-8483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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