Individual
PATRICIA PRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8380 W CHEYENNE AVE, 104, LAS VEGAS, NV 89129-8405
(702) 733-0888
(702) 395-8718
Mailing address
2250 S. RANCHO DR., STE. 205, LAS VEGAS, NV 89102
(702) 291-2031
(702) 984-7566
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-33C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649360306
—
NV
Enumeration date
10/13/2006
Last updated
12/29/2016
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