King Rampart Dental Group, PC

NPI #1023494861 in Las Vegas, Nevada

Provider Information

NPI Number: 1023494861
Entity Type: Organization
Organization Name: King Rampart Dental Group, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 4, 2015
Last Updated: Jan 21, 2016

Practice Location

Address: 8975 W CHARLESTON BLVD
Address 2: 100
City: Las Vegas
State: Nevada
ZIP Code: 89117-5470
Phone: (702) 290-4212

Authorized Official

Name: DR. BREANNA M KING, DMD
Title: OWNER DENTIST
Phone: (702) 290-4212

Specialties & Taxonomy Codes

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

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