East Valley Dental

NPI #1871701425 in Las Vegas, Nevada

Provider Information

NPI Number: 1871701425
Entity Type: Organization
Organization Name: East Valley Dental
Primary Specialty: Dentist
Enumeration Date: May 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4230 E CHARLESTON BLVD
City: Las Vegas
State: Nevada
ZIP Code: 89104-2397
Phone: (702) 459-7446

Authorized Official

Name: DR. MICHAEL D WILSON, D.D.S
Title: DENTIST OWNER
Phone: (702) 459-7446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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