Organization
DRIVE INN DENTAL LLC
Active
Other names
Drive Inn Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS KERN DMD (OWNER)
(702) 286-3721
Entity
Organization
Contact information
Practice address
4506 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1502
(702) 286-3721
Mailing address
4506 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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