Organization
TENDER DENTAL BONANZA, LLC
Active
Other names
Silver Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LAWRENCE SHERMAN (CLINICAL DIRECTOR)
(631) 806-1275
Entity
Organization
Contact information
Practice address
5001 E BONANZA RD STE 160, LAS VEGAS, NV 89110-3560
(702) 307-2273
Mailing address
5001 E BONANZA RD STE 160, LAS VEGAS, NV 89110-3560
(702) 307-2273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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