Lone Mountain Dental, LLC

NPI #1649493164 in Las Vegas, Nevada

Provider Information

NPI Number: 1649493164
Entity Type: Organization
Organization Name: Lone Mountain Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Apr 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4818 W LONE MOUNTAIN RD
City: Las Vegas
State: Nevada
ZIP Code: 89130-2239
Phone: (702) 655-9533

Authorized Official

Name: BARRY KENNEDY, DDS
Title: OWNER
Phone: (702) 655-9533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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