| Galleria Pediatric Dentistry | |
|
731 Mall Ring Cir Henderson NV 89014-6683 | |
| (702) 734-5333 | |
| (702) 990-0304 |
| Full Name | Galleria Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 731 Mall Ring Cir, Henderson, Nevada |
| Authorized Official Name and Position | Harout V Gostanian (OWNER) |
| Authorized Official Contact | 7027345333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galleria Pediatric Dentistry 731 Mall Ring Cir Henderson NV 89014-6683 Ph: (702) 734-5333 | Galleria Pediatric Dentistry 731 Mall Ring Cir Henderson NV 89014-6683 Ph: (702) 734-5333 |
| NPI Number | 1912118878 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912118878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | NV20071588351 (Nevada) | Primary |
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