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NPI Code Detail

MEDICARE: BD LAS VEGAS LLC

MEDICARE: BD LAS VEGAS 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
1332B00000XDurable Medical Equipment & Medical Supplies
2122300000XDentist

General Provider Information

NPI Number : 1629936430
Entity Type Code : Organization
Provider Name (Legal Business Name) : BD LAS VEGAS LLC
Provider Business Mailing Address
First Line : 2500 7TH ST STE H
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4947
Country : US
Telephone Number : 505-454-8483
Fax Number :
Provider Business Practice Location Address
First Line : 2500 7TH ST STE H
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4947
Country : US
Telephone Number : 505-454-8483
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ESMAEL VALDEZ
Credential : DDS
Telephone Number : 505-603-9143
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “BD LAS VEGAS LLC ” Practice Location

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