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General NPI Number Information
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NPI Number | 1760241343
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Entity Type | Organization
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Legal Business Name | PROSPER DENTAL SERVICES, PLLC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 7500 W LAKE MEAD BLVD STE 11
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City | LAS VEGAS
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State | NV
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Zip | 89128-0298
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Country | US
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Telephone | 702-328-1564
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Fax |
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Provider Business Mailing Address
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Address Line | 7104 PLUSHSTONE ST
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City | LAS VEGAS
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State | NV
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Zip | 89148-3881
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Country | US
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Telephone | 702-328-1564
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAWEED NAJAND
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Credential | DMD
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Telephone | 702-328-1564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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