Organization · NPI-2

A Omega Dental, LLC

Dentist, General Practice · Las Vegas, NV

NPI number1114320983
StatusActive
Last updated in NPPESOct 7, 2014

Details

NPI
1114320983
Entity type
Organization (NPI-2)
Legal business name
A Omega Dental, LLC
Organization subpart
No
Enumeration date
Oct 7, 2014
Last updated
Oct 7, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

6775 E Lake Mead Blvd
Ste # B9 & B10
Las Vegas, NV 89156

Phone 702-570-5072 · Fax 702-570-5384

Mailing address

6775 E Lake Mead Blvd
Ste # B9 & B10
Las Vegas, NV 89156

Phone 702-570-5072 · Fax 702-570-5384

Authorized official

Dominic DO
President
7027228423

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