Organization
MW DENTAL PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RAY WENDELBOE DMD (MANAGING PARTNER)
(702) 860-5829
Entity
Organization
Contact information
Practice address
10010 W CHEYENNE AVE STE 140, LAS VEGAS, NV 89129-7714
(702) 227-4392
(702) 636-1688
Mailing address
6825 ANTLER CT, LAS VEGAS, NV 89149-9602
(702) 860-5829
(702) 636-1688
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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