Organization
BRANHAM DENTAL LLC
Active
Other names
Simister and Branham Dental
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE BRANHAM (OWNER)
(702) 878-7700
Entity
Organization
Contact information
Practice address
4610 MEADOWS LN STE B, LAS VEGAS, NV 89107-2965
(702) 878-7700
(702) 878-4630
Mailing address
4610 MEADOWS LN STE B, LAS VEGAS, NV 89107-2965
(702) 878-7700
(702) 878-4630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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