Anthem Dental INC

NPI #1306069828 in Henderson, Nevada

Provider Information

NPI Number: 1306069828
Entity Type: Organization
Organization Name: Anthem Dental INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 10960 S EASTERN AVE
Address 2: STE 112
City: Henderson
State: Nevada
ZIP Code: 89052-4977
Phone: (702) 616-1600

Authorized Official

Name: DR. KATHY LATIFI, DDS
Title: PRESIDENT
Phone: (702) 616-1600

Specialties & Taxonomy Codes

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

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