Blue Diamond Dental, LLC

NPI #1053602474 in Las Vegas, Nevada

Provider Information

NPI Number: 1053602474
Entity Type: Organization
Organization Name: Blue Diamond Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 20, 2011
Last Updated: Apr 20, 2011

Practice Location

Address: 4720 BLUE DIAMOND RD
Address 2: SUITE 100
City: Las Vegas
State: Nevada
ZIP Code: 89139-7661
Phone: (702) 472-7290

Authorized Official

Name: GURBRINDER DHILLON
Title: OWNER
Phone: (702) 472-7290

Specialties & Taxonomy Codes

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

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