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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

NPI # 1053602474
LBN Legal business name BLUE DIAMOND DENTAL, LLC
DBA Doing business as ABSOLUTE DENTAL- BLUE DIAMOND
Authorized official GURBRINDER DHILLON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2011
Last updated 04/20/2011 - About 15 years ago
Identifiers
NV License # S6-81
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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