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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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