Organization
PROVIDENCE DENTAL DHILLON PLLC
Active
Parent organization
PROVIDENCE DENTAL DHILLON PLLC
Other names
Summer Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE DENTAL DHILLON PLLC
Authorized official
GURBRINDER DHILLON (OWNER)
(702) 852-2755
Entity
Organization
Contact information
Practice address
10965 LAVENDER HILL DR, # 6200, LAS VEGAS, NV 89135-2950
(702) 852-2755
(702) 947-4944
Mailing address
10965 LAVENDER HILL DR, # 6200, LAS VEGAS, NV 89135-2950
(702) 852-2755
(702) 947-4944
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
S6-81
NV
1223G0001X
General Practice Dentistry
Primary
S6-81
NV
1223P0221X
Pediatric Dentistry
S6-81
NV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S6-81
NV
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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