| Ed Deandrade Dds, Ltd. | |
|
2610 W Horizon Ridge Pkwy Suite #202 Henderson NV 89052-2869 | |
| (702) 270-4600 | |
| (702) 270-7773 |
| Full Name | Ed Deandrade Dds, Ltd. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2610 W Horizon Ridge Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Ed De Andrade (PRESIDENT) |
| Authorized Official Contact | 7022704600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ed Deandrade Dds, Ltd. 2610 W Horizon Ridge Pkwy Suite #202 Henderson NV 89052-2869 Ph: (702) 270-4600 | Ed Deandrade Dds, Ltd. 2610 W Horizon Ridge Pkwy Suite #202 Henderson NV 89052-2869 Ph: (702) 270-4600 |
| NPI Number | 1144331588 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144331588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3586 (Nevada) | Primary |
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