Organization
VEGAS PEDIATRIC PARTNERS
Active
Other names
Boca Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA J CAZZALY (REGIONAL OFFICE MANAGER)
(702) 456-0005
Entity
Organization
Contact information
Practice address
5642 S EASTERN AVE STE F, LAS VEGAS, NV 89119-2310
(702) 508-0755
(702) 659-7116
Mailing address
5642 S EASTERN AVE STE F, LAS VEGAS, NV 89119-2310
(702) 508-0755
(702) 659-7116
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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