Organization · NPI-2
Allura Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics · Henderson, NV
NPI number1881136646
StatusActive
Last updated in NPPESNov 10, 2016
Details
- NPI
- 1881136646
- Entity type
- Organization (NPI-2)
- Legal business name
- Allura Orthodontics
- Organization subpart
- No
- Enumeration date
- Nov 10, 2016
- Last updated
- Nov 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | S3-245C | NV | Yes |
Practice location
3039 W Horizon Ridge PkwySuite 100
Henderson, NV 89052-4192
Phone 702-489-5237
Mailing address
3039 W Horizon Ridge PkwySuite 100
Henderson, NV 89052-4192
Phone 702-489-5237
Authorized official
Pawan Gautam
Orthodontist
7024895237
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