Organization
CENTENNIAL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY DAN SOARD DMD (PRESIDENT)
(702) 385-7415
Entity
Organization
Contact information
Practice address
7890 W ANN RD STE 150, LAS VEGAS, NV 89149-5214
(702) 385-7415
(702) 388-4386
Mailing address
7890 W ANN RD STE 150, LAS VEGAS, NV 89149-5214
(702) 385-7415
(702) 388-4386
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
02/05/2022
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