Organization
A CHILDRENS DENTIST LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID SAXE D.M.D. (MNG. PARTNER)
(702) 255-0133
Entity
Organization
Contact information
Practice address
8710 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89117-5469
(702) 255-0133
(702) 255-8374
Mailing address
8710 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89117-5469
(702) 255-0133
(702) 255-8374
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-16
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002202099
—
NV
Enumeration date
05/19/2008
Last updated
05/19/2008
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