Southern Nevada General Dentistry Prada, Pllc

NPI #1770948689 in Las Vegas, Nevada

Provider Information

NPI Number: 1770948689
Entity Type: Organization
Organization Name: Southern Nevada General Dentistry Prada, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: ABSOLUTE DENTAL & ORTHODONTICS PRADA, PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 18, 2015
Last Updated: Dec 18, 2015

Practice Location

Address: 6490 S. MCCARRAN BLVD. #17 & #18
City: Las Vegas
State: Nevada
ZIP Code: 89509
Phone: (775) 829-8901

Authorized Official

Name: PATRICIA PRADA, DDS
Title: MEMBER
Phone: (775) 787-8900

Specialties & Taxonomy Codes

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

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