Healthcare Provider Details

I. General information

NPI: 1629936430
Provider Name (Legal Business Name): BD LAS VEGAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 7TH ST STE H
LAS VEGAS NM
87701-4947
US

IV. Provider business mailing address

2500 7TH ST STE H
LAS VEGAS NM
87701-4947
US

V. Phone/Fax

Practice location:
  • Phone: 505-454-8483
  • Fax:
Mailing address:
  • Phone: 505-454-8483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ESMAEL VALDEZ
Title or Position: OWNER
Credential: DDS
Phone: 505-603-9143