Tender Dental Boulder, LLC

NPI #1215467295 in Las Vegas, Nevada

Provider Information

NPI Number: 1215467295
Entity Type: Organization
Organization Name: Tender Dental Boulder, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TENDER DENTAL MANAGEMENT, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 13, 2017
Last Updated: Feb 4, 2022

Practice Location

Address: 5230 BOULDER HWY STE 130
City: Las Vegas
State: Nevada
ZIP Code: 89122-6079
Phone: (702) 851-6724

Authorized Official

Name: DR. MICHAEL LAWRENCE SHERMAN
Title: CLINICAL DIRECTOR
Phone: (631) 806-1275

Specialties & Taxonomy Codes

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

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