Maddison Ave Dental
NPI #1316963861 in N Las Vegas, Nevada
Provider Information
- NPI Number
- 1316963861
- Entity Type
- Organization
- Organization Name
- Maddison Ave Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4358 W CHEYENNE AVE
- City
- N Las Vegas
- State
- Nevada
- ZIP Code
- 89032-2484
- Phone
- (702) 735-9500
Authorized Official
- Name
- AMIE LEAVITT
- Title
- OFFICE MANAGER
- Phone
- (702) 735-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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