| Coast Dental Of Nevada Inc | |
|
2047 W Charleston Blvd Suite 100 Las Vegas NV 89102 | |
| (813) 288-1999 | |
| Not Available |
| Full Name | Coast Dental Of Nevada Inc |
|---|---|
| Speciality | Dentist |
| Location | 2047 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Darlene Finnell (DIRECTOR OF INS. AND CREDENTIALING) |
| Authorized Official Contact | 8132881999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Dental Of Nevada Inc 4010 W Boy Scout Blvd Suite 1100 Tampa FL 33607-5727 Ph: (813) 288-1999 | Coast Dental Of Nevada Inc 2047 W Charleston Blvd Suite 100 Las Vegas NV 89102 Ph: (813) 288-1999 |
| NPI Number | 1093085243 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093085243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Nevada) | Primary |
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