Pure Dental

NPI #1508191420 in Las Vegas, Nevada

Provider Information

NPI Number: 1508191420
Entity Type: Organization
Organization Name: Pure Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 9, 2009
Last Updated: Oct 9, 2009

Practice Location

Address: 4250 S RAINBOW BLVD
Address 2: #1004-1005
City: Las Vegas
State: Nevada
ZIP Code: 89103-3159
Phone: (702) 456-4600

Authorized Official

Name: TRANG NGUYEN
Title: OWNER
Phone: (702) 456-4600

Specialties & Taxonomy Codes

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

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