| NPI | 1780038257 |
|---|---|
| Doing Business As | HUNTRIDGE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ROXANA VALETON CEO 702-380-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-12-05 |