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General NPI Number Information
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NPI Number | 1336004886
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Entity Type | Organization
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Legal Business Name | REDESIGN DENTAL
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 8440 S EASTERN AVE STE B
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City | LAS VEGAS
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State | NV
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Zip | 89123-2861
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Country | US
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Telephone | 702-451-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 8440 S EASTERN AVE STE B
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City | LAS VEGAS
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State | NV
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Zip | 89123-2861
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDUARDO DELAROSA PAIS III
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Credential | DMD
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Telephone | 702-504-1773
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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 |
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License Number State |
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