Cosmopolitan Dental

NPI 1083735245 - Dentist - 1223G0001X

NPI Details
NPI 1083735245
Enumeration Date 04/03/2007
Last Updated 02/17/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THERESA R THERESA
Position OWNER
Phone (702) 345-2299
Fax (702) 345-2303
Practice Location
1301 BERTHA HOWE AVE
SUITE 5
MESQUITE NV, 89027-7502, US
Phone (702) 345-2299
Fax (702) 345-2303
Business Location
PO BOX 2608
MESQUITE NV, 89024-2608, US
Phone (702) 345-2299
Fax (702) 345-2303
Toxanomy
Taxonomy Code 1223G0001X
License State Nevada
License Number 4669
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According to our database, Cosmopolitan Dental NPI is 1083735245, taxonomy code is 1223G0001X and license number is 4669, license state is located at Nevada. Cosmopolitan Dental physically located at 1301 Bertha Howe Ave, Mesquite NV, 89027-7502. NPI Number 1033115704 has the healthcare provider type.

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1083735245 NPI number is provided on an as is basis without warranty of any kind. 1083735245 is maintained by the National Plan & Provider Enumeration System. The contents of Cosmopolitan Dental are for informational purposes only.