Boca Park Dental INC

NPI #1679599138 in Las Vegas, Nevada

Provider Information

NPI Number: 1679599138
Entity Type: Organization
Organization Name: Boca Park Dental INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 15, 2006
Last Updated: Jul 19, 2010

Practice Location

Address: 1000 S RAMPART BLVD
Address 2: STE 13
City: Las Vegas
State: Nevada
ZIP Code: 89145-8531
Phone: (702) 240-6200

Authorized Official

Name: AMY TURNER
Title: OFFICE MANAGER
Phone: (702) 240-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist - General Practice — General Practice	1223G0001X	Primary

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