Coast Dental of Nevada INC

NPI #1093085243 in Las Vegas, Nevada

Provider Information

NPI Number: 1093085243
Entity Type: Organization
Organization Name: Coast Dental of Nevada INC
Primary Specialty: Dentist
Enumeration Date: Jan 5, 2012
Last Updated: May 31, 2018

Practice Location

Address: 2047 W CHARLESTON BLVD
Address 2: SUITE 100
City: Las Vegas
State: Nevada
ZIP Code: 89102
Phone: (813) 288-1999

Authorized Official

Name: DARLENE FINNELL
Title: DIRECTOR OF INS. AND CREDENTIALING
Phone: (813) 288-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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