Organization
4G DENTAL PARTNERS
Active
Other names
Boca Dental & Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WYATT STOTT DANNELS DDS (OWNER)
(702) 456-0005
Entity
Organization
Contact information
Practice address
4235 E CHARLESTON BLVD, LAS VEGAS, NV 89104-2380
(702) 456-0005
(702) 920-8892
Mailing address
4750 W SAHARA AVE STE 12, LAS VEGAS, NV 89102-3559
(702) 381-7059
(702) 979-5864
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
06/11/2019
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