Center for Dental Aesthetics Pllc

NPI #1851019913 in Las Vegas, Nevada

Provider Information

NPI Number: 1851019913
Entity Type: Organization
Organization Name: Center for Dental Aesthetics Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 16, 2022
Last Updated: Dec 20, 2022

Practice Location

Address: 7160 RAFAEL RIVERA WAY STE 130
City: Las Vegas
State: Nevada
ZIP Code: 89113-5394
Phone: (702) 357-4111

Authorized Official

Name: VICENTA REYES
Title: CREDENTIALING MANAGER
Phone: (972) 869-3789

Specialties & Taxonomy Codes

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

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