South Eastern Dental

NPI #1760511091 in Las Vegas, Nevada

Provider Information

NPI Number: 1760511091
Entity Type: Organization
Organization Name: South Eastern Dental
Primary Specialty: Dentist
Enumeration Date: Mar 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 8540 S EASTERN AVE STE 120
City: Las Vegas
State: Nevada
ZIP Code: 89123-2847
Phone: (702) 967-2536

Authorized Official

Name: DR. TINA E. TIGERT, D.D.S.
Title: DENTIST
Phone: (702) 967-2536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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