Black Mountain Dental

NPI #1174686034 in Henderson, Nevada

Provider Information

NPI Number: 1174686034
Entity Type: Organization
Organization Name: Black Mountain Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 270 E HORIZON DR
Address 2: SUITE 106
City: Henderson
State: Nevada
ZIP Code: 89015-8036
Phone: (702) 699-5551

Authorized Official

Name: RODNEY GARTH HARRIS, DDS
Title: OWNER
Phone: (702) 699-5551

Specialties & Taxonomy Codes

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

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