Bettencourt Skin Center LLC

NPI #1558444729 in Henderson, Nevada

Provider Information

NPI Number: 1558444729
Entity Type: Organization
Organization Name: Bettencourt Skin Center LLC
Primary Specialty: Dermatology
Enumeration Date: Oct 23, 2006
Last Updated: Dec 12, 2007

Practice Location

Address: 601 WHITNEY RANCH DR BLDG C STE 13
City: Henderson
State: Nevada
ZIP Code: 89014-2643
Phone: (702) 257-7546

Authorized Official

Name: MRS. MIRIAM S BETTENCOURT, MD
Title: OWNER
Phone: (702) 257-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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