Eastern Hill Family Dental LLC

NPI #1417471509 in Las Vegas, Nevada

Provider Information

NPI Number: 1417471509
Entity Type: Organization
Organization Name: Eastern Hill Family Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 31, 2017
Last Updated: Nov 28, 2017

Practice Location

Address: 5905 S EASTERN AVE STE 112
City: Las Vegas
State: Nevada
ZIP Code: 89119-3130
Phone: (702) 262-5693

Authorized Official

Name: SUE SHELL
Title: CREDENTIALING SPECIALIST
Phone: (702) 218-2713

Specialties & Taxonomy Codes

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

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