Liberty Dental Plan of Nevada, Inc.

NPI #1013434810 in Las Vegas, Nevada

Provider Information

NPI Number
1013434810
Entity Type
Organization
Organization Name
Liberty Dental Plan of Nevada, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
LIBERTY DENTAL PLAN CORPORATION
Primary Specialty
Health Maintenance Organization
Enumeration Date
Aug 23, 2017
Last Updated
Aug 23, 2017

Practice Location

Address
6385 S RAINBOW BLVD STE 200
State
Nevada
ZIP Code
89118-3208
Phone
(888) 703-6999

Authorized Official

Name
MARZENA FERCZ
Title
DIRECTOR, COMPLIANCE
Phone
(888) 703-6999

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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