Boulder Dental Group, LLC

NPI #1245677152 in Las Vegas, Nevada

Provider Information

NPI Number
1245677152
Entity Type
Organization
Organization Name
Boulder Dental Group, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 31, 2013
Last Updated
May 31, 2013

Practice Location

Address
6325 E RUSSELL RD
Address 2
#100
State
Nevada
ZIP Code
89122-7069
Phone
(702) 227-6588

Authorized Official

Name
GURBRINDER DHILLON
Title
OWNER
Phone
(702) 435-5015

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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