Monica Ponce, Dds, a Professional Corporation

NPI #1568098309 in Las Vegas, Nevada

Provider Information

NPI Number: 1568098309
Entity Type: Organization
Organization Name: Monica Ponce, Dds, a Professional Corporation
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 12, 2020
Last Updated: Mar 8, 2023

Practice Location

Address: 9450 WEST RUSSELL RD
Address 2: SUITE #103
City: Las Vegas
State: Nevada
ZIP Code: 89148
Phone: (702) 827-2200

Authorized Official

Name: DR. MONICA RENEE PONCE, DDS
Title: OWNER AND PROVIDER
Phone: (702) 806-7439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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