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NPI Code Detail

MEDICARE: RED ROCK ENDODONTICS, LLC

MEDICARE: RED ROCK ENDODONTICS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodonticsS7-46NV

General Provider Information

NPI Number : 1497935563
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED ROCK ENDODONTICS, LLC
Provider Business Mailing Address
First Line : 9690 W TROPICANA AVE STE 109
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-2601
Country : US
Telephone Number : 702-372-9651
Fax Number :
Provider Business Practice Location Address
First Line : 9690 W TROPICANA AVE STE 109
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-2601
Country : US
Telephone Number : 702-372-9651
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. VINH-THY HUY NGUYEN
Credential : DDS
Telephone Number : 702-372-9651
Provider Enumeration Date : 11/06/2007
Last Update Date : 11/06/2007

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Directions to “RED ROCK ENDODONTICS, LLC ” Practice Location

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