William E, Ursick, Gemini Dental

NPI #1932313053 in Las Vegas, Nevada

Provider Information

NPI Number: 1932313053
Entity Type: Organization
Organization Name: William E, Ursick, Gemini Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: May 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2110 E FLAMINGO RD
Address 2: SUITE 315
City: Las Vegas
State: Nevada
ZIP Code: 89119-5190
Phone: (702) 369-0021

Authorized Official

Name: KAMALA MCCOOK CASSANOVA
Title: GROUP MANAGER
Phone: (702) 369-0021

Specialties & Taxonomy Codes

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

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