Providence Dental Dhillon Pllc

NPI #1417313883 in Las Vegas, Nevada

Provider Information

NPI Number: 1417313883
Entity Type: Organization
Organization Name: Providence Dental Dhillon Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 14, 2016
Last Updated: Jan 3, 2023

Practice Location

Address: 7181 N HUALAPAI WAY
Address 2: SUITE 105
City: Las Vegas
State: Nevada
ZIP Code: 89166-1115
Phone: (702) 349-2420

Authorized Official

Name: TIFFANY LORICK
Title: CREDENTIALING SPECIALIST
Phone: (704) 806-3632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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