Paradise Dental Clinic

NPI #1891085684 in Las Vegas, Nevada

Provider Information

NPI Number: 1891085684
Entity Type: Organization
Organization Name: Paradise Dental Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDREN'S CARE INTERNATIONAL
Primary Specialty: Dentist
Enumeration Date: Apr 13, 2011
Last Updated: Apr 13, 2011

Practice Location

Address: 1750 WHEELER PEAK DR
City: Las Vegas
State: Nevada
ZIP Code: 89106-2150
Phone: (702) 272-1100

Authorized Official

Name: MRS. ELIZABETH RAZO, ADMINISTRATION
Title: OFFICE MANAGER
Phone: (702) 272-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist	122300000X	Primary

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