Provider First Line Business Practice Location Address:
6090 S. FORT APACHE
Provider Second Line Business Practice Location Address:
STE 120 HILLSIDE DENTAL
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-895-7799
Provider Business Practice Location Address Fax Number:
702-895-7192
Provider Enumeration Date:
03/12/2024