Board of Regents, Nevada System of Higher Education

NPI #1851699516 in Las Vegas, Nevada

Provider Information

NPI Number: 1851699516
Entity Type: Organization
Organization Name: Board of Regents, Nevada System of Higher Education
Subpart: Yes (part of a larger organization)
Parent Organization: BOARD OF REGENTS, NV SYSTEM OF HIGHER EDUCATION
Primary Specialty: Dentist
Enumeration Date: Mar 4, 2011
Last Updated: Mar 27, 2014

Practice Location

Address: 1700 W. CHARLESTON BLVD.
Address 2: BUILDING A
City: Las Vegas
State: Nevada
ZIP Code: 89102-2351
Phone: (702) 774-2545

Authorized Official

Name: MRS. LAURIE ANN EVANS, MBA
Title: DIRECTOR OF CLINICAL SVCS.
Phone: (207) 774-2819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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