Organization
ENHANCED COSMETIC AND IMPLANT DENTISTRY
Active
Other names
Enhanced Cosmetic and Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GARDEL (INSURANCE MANAGER)
(702) 224-2762
Entity
Organization
Contact information
Practice address
340 E WARM SPRINGS RD STE 100, LAS VEGAS, NV 89119-4283
(725) 765-9500
(702) 541-9849
Mailing address
2840 E FLAMINGO RD STE G, LAS VEGAS, NV 89121-5202
(702) 224-2762
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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