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Organization

COAST DENTAL OF NEVADA INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARLENE FINNELL (DIRECTOR OF INS. AND CREDENTIALING)
(813) 288-1999
Entity
Organization

Contact information

Practice address
3163 N RAINBOW BLVD, LAS VEGAS, NV 89108-4578
(813) 288-1999
Mailing address
4010 W BOY SCOUT BLVD, SUITE 1100, TAMPA, FL 33607-5727
(813) 288-1999

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NV

Other

Enumeration date
01/05/2012
Last updated
06/22/2016
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