Organization
CARLA CORDOVA DMD MSD LLC
Active
Other names
Thunderbird Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA LALANDE DMD (MEMBER)
(702) 254-8858
Entity
Organization
Contact information
Practice address
3603 LAS VEGAS BLVD N STE 120, LAS VEGAS, NV 89115-0588
(702) 545-0055
(702) 254-9462
Mailing address
3600 N BUFFALO DR STE 110, LAS VEGAS, NV 89129-7462
(702) 254-8858
(702) 254-9462
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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