Monica Ponce, DDS, A Professional Corporation
Clinic/Center, Dental in Las Vegas, NV. Organization (NPI-2).
NPI number1164050365
StatusActive
Last updated in NPPESSep 29, 2021
Details
- NPI
- 1164050365
- Entity type
- Organization (NPI-2)
- Legal business name
- Monica Ponce, DDS, A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Apr 1, 2020
- Certification date
- Sep 29, 2021
- Last updated
- Sep 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Delicate Oral Surgery (Doing Business As)
- Delicate Dental (Doing Business As)
Practice location
9450 West Russell Road Suite 102Las Vegas, NV 89148-8914
Phone 702-806-7439 · Fax 702-570-3424
Mailing address
8036 Barndance CtLas Vegas, NV 89149-4754
Phone 702-806-7439
Authorized official
Monica Renee Ponce
Owner
7028067439
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