Organization
NEW IMAGE DENTAL OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEANCA JHANINE MULATO SAMIANO DMD (OWNER/MANAGING MEMBER)
(702) 985-7939
Entity
Organization
Contact information
Practice address
3885 S DECATUR BLVD STE 1100, LAS VEGAS, NV 89103-5872
(702) 838-3311
Mailing address
2647 INFINITY BAY CT, LAS VEGAS, NV 89146-5314
(702) 985-7939
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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