Organization
LONE MOUNTAIN DENTAL, LLC
Active
Other names
Barry A. Kennedy, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY KENNEDY DDS (OWNER)
(702) 655-9533
Entity
Organization
Contact information
Practice address
4818 W LONE MOUNTAIN RD, LAS VEGAS, NV 89130-2239
(702) 655-9533
(702) 655-9565
Mailing address
4818 W LONE MOUNTAIN RD, LAS VEGAS, NV 89130-2239
(702) 655-9533
(702) 655-9565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2791
NV
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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