Organization
BOARD OF REGENTS, NEVADA SYSTEM OF HIGHER EDUCATION
Active
Parent organization
BOARD OF REGENTS, NV SYSTEM OF HIGHER EDUCATION
Other names
UNLV Pediatric Community Outreach
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS, NV SYSTEM OF HIGHER EDUCATION
Authorized official
MRS. LAURIE ANN EVANS MBA (DIRECTOR OF CLINICAL SVCS.)
(207) 774-2819
Entity
Organization
Contact information
Practice address
1700 W. CHARLESTON BLVD., BUILDING A, LAS VEGAS, NV 89102-2351
(702) 774-2545
(702) 774-2499
Mailing address
1001 SHADOW LN, MS 7413, LAS VEGAS, NV 89106-4124
(702) 774-2400
(702) 774-2499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
03/27/2014
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