Modelo Dental Center

NPI #1003014101 in Las Vegas, Nevada

Provider Information

NPI Number: 1003014101
Entity Type: Organization
Organization Name: Modelo Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 10, 2007
Last Updated: Jul 10, 2007

Practice Location

Address: 4660 S EASTERN AVE STE 101
City: Las Vegas
State: Nevada
ZIP Code: 89119-6138
Phone: (702) 436-6186

Authorized Official

Name: DR. BERTHA O. ALARCON, D.D.S
Title: COE
Phone: (702) 436-6186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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