Provider First Line Business Practice Location Address:
6136 W SAHARA AVE
Provider Second Line Business Practice Location Address:
LAS VEGAS CENTER FOR COSMETIC DENTISTRY
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89146-3051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-362-9353
Provider Business Practice Location Address Fax Number:
702-362-1747
Provider Enumeration Date:
04/16/2007