Providence Dental Dhillon Pllc

NPI #1922533785 in Las Vegas, Nevada

Provider Information

NPI Number: 1922533785
Entity Type: Organization
Organization Name: Providence Dental Dhillon Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE DENTAL DHILLON PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 28, 2017
Last Updated: Apr 28, 2017

Practice Location

Address: 10965 LAVENDER HILL DR
Address 2: # 6200
City: Las Vegas
State: Nevada
ZIP Code: 89135-2950
Phone: (702) 852-2755

Authorized Official

Name: GURBRINDER DHILLON
Title: OWNER
Phone: (702) 852-2755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - General Practice — General Practice	1223G0001X	Primary

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