| Eastern Hill Family Dental Llc | |
|
5905 S Eastern Ave Ste 112 Las Vegas NV 89119-3130 | |
| (702) 262-5693 | |
| (702) 507-6450 |
| Full Name | Eastern Hill Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5905 S Eastern Ave Ste 112, Las Vegas, Nevada |
| Authorized Official Name and Position | Sue Shell (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7022182713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Hill Family Dental Llc 5905 S Eastern Ave Ste 112 Las Vegas NV 89119-3130 Ph: (702) 262-5693 | Eastern Hill Family Dental Llc 5905 S Eastern Ave Ste 112 Las Vegas NV 89119-3130 Ph: (702) 262-5693 |
| NPI Number | 1417471509 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 11/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417471509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5876 (Nevada) | Primary |
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