Organization
BOCA PARK DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY TURNER (OFFICE MANAGER)
(702) 240-6200
Entity
Organization
Contact information
Practice address
1000 S RAMPART BLVD, STE 13, LAS VEGAS, NV 89145-8531
(702) 240-6200
(702) 952-8118
Mailing address
1000 S RAMPART BLVD, STE 13, LAS VEGAS, NV 89145-8531
(702) 240-6200
(702) 952-8118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/15/2006
Last updated
07/19/2010
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