| Miracle Dental | |
|
4210 W Craig Rd Suite #104 North Las Vegas NV 89032-2734 | |
| (702) 436-5222 | |
| (702) 873-5222 |
| Full Name | Miracle Dental |
|---|---|
| Speciality | Dentist |
| Location | 4210 W Craig Rd, North Las Vegas, Nevada |
| Authorized Official Name and Position | Ann T. A. Pham (PRESIDENT) |
| Authorized Official Contact | 7024560056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Dental 8001 N Durango Dr Suite 100 Las Vegas NV 89143 Ph: (702) 456-0056 | Miracle Dental 4210 W Craig Rd Suite #104 North Las Vegas NV 89032-2734 Ph: (702) 436-5222 |
| NPI Number | 1508059882 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508059882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4078 (Nevada) | Primary |
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