Luckoor Queensridge Modern Dentistry, PC

NPI #1154048304 in Las Vegas, Nevada

Provider Information

NPI Number: 1154048304
Entity Type: Organization
Organization Name: Luckoor Queensridge Modern Dentistry, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 27, 2022
Last Updated: Oct 27, 2022

Practice Location

Address: 10040 ALTA DRIVE STE 100
City: Las Vegas
State: Nevada
ZIP Code: 89145
Phone: (702) 425-3060

Authorized Official

Name: SALONI LUCKOOR, DMD
Title: OWNER
Phone: (702) 425-3060

Specialties & Taxonomy Codes

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

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