Organization
NEVADA DENTAL PROFESSIONAL, QUIRT, GATES, PC
Active
Parent organization
NEVADA DENTAL PROFESSIONAL,QUIRT,GATES,P
Other names
Galleria Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA DENTAL PROFESSIONAL,QUIRT,GATES,P
Authorized official
KIM ZUBER (CRED SUP.)
(217) 540-5170
Entity
Organization
Contact information
Practice address
1399 GALLERIA DRIVE, SUITE 200, HENDERSON, NV 89014-6664
(702) 433-0007
(702) 435-4618
Mailing address
1399 GALLERIA DRIVE, SUITE 200, HENDERSON, NV 89014-6664
(702) 433-0007
(702) 435-4618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
11/25/2015
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