Organization
SOUTHERN NEVADA GENERAL DENTISTRY PRADA, PLLC
Active
Parent organization
ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLC
Other names
Absolute Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLC
Authorized official
PATRICIA PRADA DDS (MEMBER)
(775) 787-8900
Entity
Organization
Contact information
Practice address
6490 S. MCCARRAN BLVD. #17 & #18, LAS VEGAS, NV 89509
(775) 829-8901
Mailing address
526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
(702) 435-5015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NV20151700620
NV
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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