Bonanza Dental Partners

NPI #1114432531 in Las Vegas, Nevada

Provider Information

NPI Number: 1114432531
Entity Type: Organization
Organization Name: Bonanza Dental Partners
Primary Specialty: Dentist
Enumeration Date: Dec 7, 2017
Last Updated: Jun 16, 2018

Practice Location

Address: 556 N EASTERN AVE STE I
City: Las Vegas
State: Nevada
ZIP Code: 89101-3453
Phone: (702) 960-4484

Authorized Official

Name: DIANA J CAZZALY, DIANA CAZZALY
Title: OFFICE MANAGER
Phone: (702) 960-4484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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