Organization
LIBERTY DENTAL PLAN OF NEVADA, INC.
Active
Parent organization
LIBERTY DENTAL PLAN CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY DENTAL PLAN CORPORATION
Authorized official
MARZENA FERCZ (DIRECTOR, COMPLIANCE)
(888) 703-6999
Entity
Organization
Contact information
Practice address
6285 S RAINBOW BLVD STE 200, LAS VEGAS, NV 89118-3289
(888) 703-6999
Mailing address
340 COMMERCE STE 100, IRVINE, CA 92602-1358
(949) 447-3015
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
.
.
—
Enumeration date
08/18/2017
Last updated
07/21/2022
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