Ada Nevada Dental LLC

NPI #1760145916 in Las Vegas, Nevada

Provider Information

NPI Number: 1760145916
Entity Type: Organization
Organization Name: Ada Nevada Dental LLC
Primary Specialty: Dentist
Enumeration Date: Oct 14, 2021
Last Updated: Oct 14, 2021

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. GREGORY WALTER GREENWOOD, DMD, PHARMD, MACSD
Title: CLINICAL DIRECTOR
Phone: (504) 952-0344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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