| Absolute Dental & Orthodontics | |
|
8380 W Cheyenne Ave #104 Las Vegas NV 89129-8405 | |
| (702) 733-0888 | |
| (702) 395-8718 |
| Full Name | Absolute Dental & Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 8380 W Cheyenne Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Patricia Prada (OWNER) |
| Authorized Official Contact | 7022912031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolute Dental & Orthodontics 2250 S Rancho Dr Suite 205 Las Vegas NV 89102-4451 Ph: (702) 291-2031 | Absolute Dental & Orthodontics 8380 W Cheyenne Ave #104 Las Vegas NV 89129-8405 Ph: (702) 733-0888 |
| NPI Number | 1275998270 |
|---|---|
| Provider Enumeration Date | 12/18/2015 |
| Last Update Date | 01/19/2017 |
| Medicare PECOS PAC ID | 4183915184 |
|---|---|
| Medicare Enrollment ID | O20160622001797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275998270 | NPI | - | NPPES |
| 1275998270 | Medicaid | NV |
| Provider Name | Jarom Nguyen Luu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750473005 PECOS PAC ID: 5395038921 Enrollment ID: I20160720000586 |
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