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Organization

DESERT DENTAL ASSOCIATES IV, LLC

Active
Parent organization
DESERT DENTAL ASSOCIATES, IV, LLC
Other names
Maddison Ave Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
DESERT DENTAL ASSOCIATES, IV, LLC
Authorized official
MATTHEW WELEBIR DDS (OWNER- DENTIST)
(702) 953-2239
Entity
Organization

Contact information

Practice address
4358 W. CHYENNE AVE., NORTH LAS VEGAS, NV 89032
(702) 953-2239
(702) 990-0304
Mailing address
4358 W. CHYENNE AVE., NORTH LAS VEGAS, NV 89032
(702) 953-2239
(702) 990-0304

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
12/02/2009
Last updated
12/02/2009
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