Blue Diamond Dental, Llc

NPI 1053602474 - Dentist - 1223G0001X

NPI Details
NPI 1053602474
Enumeration Date 04/20/2011
Last Updated 04/20/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GURBRINDER GURBRINDER
Position OWNER
Phone (702) 472-7290
Fax (702) 382-4469
Practice Location
4720 BLUE DIAMOND RD
SUITE 100
LAS VEGAS NV, 89139-7661, US
Phone (702) 472-7290
Fax (702) 382-4469
Business Location
526 S TONOPAH DR
SUITE 200
LAS VEGAS NV, 89106-4043, US
Phone (702) 435-5015
Fax (702) 366-1483
Toxanomy
Taxonomy Code 1223G0001X
License State Nevada
License Number S6-81
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According to our database, Blue Diamond Dental, Llc NPI is 1053602474, taxonomy code is 1223G0001X and license number is S6-81, license state is located at Nevada. Blue Diamond Dental, Llc physically located at 4720 Blue Diamond Rd, Las Vegas NV, 89139-7661. NPI Number 1033115704 has the healthcare provider type.

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1053602474 NPI number is provided on an as is basis without warranty of any kind. 1053602474 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Diamond Dental, Llc are for informational purposes only.