Organization
LEAVER AND GARDNER ORTHODONTICS LLC
Active
Organization
LEAVER AND GARDNER ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GARDNER (PARTNER)
(702) 234-5717
Entity
Organization
Contact information
Practice address
5765 CENTENNIAL CENTER BLVD STE 110, LAS VEGAS, NV 89149-7125
(702) 878-0764
Mailing address
5765 CENTENNIAL CENTER BLVD STE 110, LAS VEGAS, NV 89149-7125
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
03/17/2018
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