Tender Dental Bonanza, LLC

NPI #1679227839 in Las Vegas, Nevada

Provider Information

NPI Number: 1679227839
Entity Type: Organization
Organization Name: Tender Dental Bonanza, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 7, 2022
Last Updated: Feb 7, 2022

Practice Location

Address: 5001 E BONANZA RD STE 160
City: Las Vegas
State: Nevada
ZIP Code: 89110-3560
Phone: (702) 307-2273

Authorized Official

Name: DR. MICHAEL LAWRENCE SHERMAN
Title: CLINICAL DIRECTOR
Phone: (631) 806-1275

Specialties & Taxonomy Codes

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

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