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General NPI Number Information
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NPI Number | 1841137627
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Entity Type | Organization
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Legal Business Name | CAMEL KIDS DENTISTRY PLLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 10925 S EASTERN AVE
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City | HENDERSON
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State | NV
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Zip | 89052-4949
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Country | US
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Telephone | 702-222-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 5253 MEADOW STAR AVE
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City | LAS VEGAS
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State | NV
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Zip | 89141-8979
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Country | US
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Telephone | 650-245-3649
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. BERNARD TESORERO III
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Credential | DMD
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Telephone | 650-245-3649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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