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General NPI Number Information
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NPI Number | 1235145996
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Entity Type | Organization
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Legal Business Name | PARADISE DENTAL LLC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | PARADISE DENTAL LLC DBA SILVERADO FAMILY DENTAL 9777 S. BERMUDAA RD SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89183
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Country | US
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Telephone | 702-699-5551
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Fax | 702-914-9019
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Provider Business Mailing Address
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Address Line | PARADISE DENTAL LLC DBA SILVERADO FAMILY DENTAL 9777 S. BERMUDAA RD SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89183
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Country | US
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Telephone | 702-699-5551
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Fax | 702-914-9019
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. R. GARTH HARRIS
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Credential | DDS
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Telephone | 702-699-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 3208
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License Number State | NV
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