Organization
HILLSIDE DENTAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN WAGNER (CEO)
(702) 895-7799
Entity
Organization
Contact information
Practice address
6090 S. FORT APACHE, STE 120 HILLSIDE DENTAL, LAS VEGAS, NV 89148
(702) 895-7799
(702) 895-7192
Mailing address
6090 S. FORT APACHE, STE 120 HILLSIDE DENTAL, LAS VEGAS, NV 89148
(702) 895-7799
(702) 895-7192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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