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Contact Information

ABSOLUTE DENTAL- BLUE DIAMOND
LBN BLUE DIAMOND DENTAL, LLC
4720 BLUE DIAMOND RD
SUITE 100
LAS VEGAS, NV89139
 Phone: 702-472-7290
 Fax: 702-382-4469
 Website: https://www.absolutedental.com/locations/las-vegas/4720-blue-diamond-rd/
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ABSOLUTE DENTAL BLUE DIAMOND BLUE DIAMOND DENTAL LLC · (Female)

NPI # 1053602474
Status Active
Credentials
Entity Individual
Enumeration date 04/20/2011
Last updated 04/20/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NV License # S6-81
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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