| Sedation Dental Center Of Las Vegas | |
|
4090 N Martin L King Blvd North Las Vegas NV 89032-3218 | |
| (702) 489-5460 | |
| Not Available |
| Full Name | Sedation Dental Center Of Las Vegas |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4090 N Martin L King Blvd, North Las Vegas, Nevada |
| Authorized Official Name and Position | Steven Delisle (OWNER) |
| Authorized Official Contact | 7024895460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sedation Dental Center Of Las Vegas 4090 N Martin L King Blvd North Las Vegas NV 89032-3218 Ph: (702) 489-5460 | Sedation Dental Center Of Las Vegas 4090 N Martin L King Blvd North Las Vegas NV 89032-3218 Ph: (702) 489-5460 |
| NPI Number | 1215353511 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 03/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215353511 | NPI | - | NPPES |
| 22 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5929 (Nevada) | Primary |
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