| Eric V. Lac Dmd Ltd | |
|
40 N Valle Verde Dr Ste 140 Henderson NV 89074-1776 | |
| (702) 648-0011 | |
| (702) 364-0011 |
| Full Name | Eric V. Lac Dmd Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 40 N Valle Verde Dr, Henderson, Nevada |
| Authorized Official Name and Position | Eric V Lac (DENTIST) |
| Authorized Official Contact | 7026480011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric V. Lac Dmd Ltd 192 Cliff Valley Dr Las Vegas NV 89148-2707 Ph: (702) 648-0011 | Eric V. Lac Dmd Ltd 40 N Valle Verde Dr Ste 140 Henderson NV 89074-1776 Ph: (702) 648-0011 |
| NPI Number | 1568604023 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568604023 | NPI | - | NPPES |
| 100513109 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4563 (Nevada) | Primary |
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