Organization
VALLEY PEDIATRIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HALEY A MACIAS (OFFICE MANAGER)
(888) 963-9601
Entity
Organization
Contact information
Practice address
350 FALCON RIDGE PKWY, BUILDING #200 STE#101, MESQUITE, NV 89027-8878
(888) 963-9601
(888) 963-9601
Mailing address
350 FALCON RIDGE PKWY, BUILDING #200 STE#101, MESQUITE, NV 89027-8878
(888) 963-9601
(888) 963-9601
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S697
NV
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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