Organization
SAHARA DENTAL PARTNERS LLC
Active
Other names
Boca Dental and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT DANNELS DDS (OWNER)
(702) 456-0005
Entity
Organization
Contact information
Practice address
4750 W SAHARA AVE STE 11, LAS VEGAS, NV 89102-3559
(702) 456-0005
Mailing address
556 N EASTERN AVE STE I, LAS VEGAS, NV 89101-3453
(702) 960-4484
(702) 987-3040
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6743
NV
Other
Enumeration date
05/09/2018
Last updated
06/16/2018
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