Board of Regents, Nevada System of Higher Education

NPI #1487680815 in Las Vegas, Nevada

Provider Information

NPI Number: 1487680815
Entity Type: Organization
Organization Name: Board of Regents, Nevada System of Higher Education
Subpart: Yes (part of a larger organization)
Parent Organization: BOARD OF REGENTS, NV SYSTEM OF HIGHER EDUCATION
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 25, 2006
Last Updated: Mar 28, 2014

Practice Location

Address: 1707 W. CHARLESTON BLVD.
Address 2: SUITE 210
City: Las Vegas
State: Nevada
ZIP Code: 89102-2351
Phone: (702) 671-5175

Authorized Official

Name: MRS. LAURIE ANN EVANS, MBA
Title: DIRECTOR OF CLINICAL BUSINESS SVCS.
Phone: (702) 774-2819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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