Brown North Las Vegas Modern Dentistry, PC
Dentist, General Practice in North Las Vegas, NV. Organization (NPI-2).
NPI number1952145278
StatusActive
Last updated in NPPESJun 21, 2024
Details
- NPI
- 1952145278
- Entity type
- Organization (NPI-2)
- Legal business name
- Brown North Las Vegas Modern Dentistry, PC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2024
- Certification date
- Jun 21, 2024
- Last updated
- Jun 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
6975 Aliante Pkwy Ste 101North Las Vegas, NV 89084-3192
Phone 725-240-6269
Mailing address
Po Box 920050Dallas, TX 75392-0050
Authorized official
Joseph Brown
Owner
7148458500
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