Organization
ANTHEM PERIODONTICS AND DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ED DEANDRADE DDS (OWNER)
(702) 270-4600
Entity
Organization
Contact information
Practice address
2610 W HORIZON RIDGE PKWY, #202, HENDERSON, NV 89052-2869
(702) 270-4600
(702) 270-7773
Mailing address
2610 W HORIZON RIDGE PKWY, #202, HENDERSON, NV 89052-2869
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6797
NV
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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