Drive Inn Dental LLC

NPI #1639777311 in Las Vegas, Nevada

Provider Information

NPI Number: 1639777311
Entity Type: Organization
Organization Name: Drive Inn Dental LLC
Primary Specialty: Dentist
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 4506 W CHARLESTON BLVD
City: Las Vegas
State: Nevada
ZIP Code: 89102-1502
Phone: (702) 286-3721

Authorized Official

Name: DOUGLAS KERN, DMD
Title: OWNER
Phone: (702) 286-3721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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