OrganizationActive
Greater Las Vegas
NPI 1457726960 · Prosthodontics · Las Vegas, NV
Provider details
- NPI number
- 1457726960
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Grace Marquez, Office Administrator(702) 880-5858
- License
- S5 24 (NV)
Specialties & taxonomies
Dental Providers
Practice location
8867 W Flamingo Rd
Suite 100
Las Vegas, NV 89147-8758
Phone: (702) 880-5858
Approximate (ZIP-level) locationGet directions
Mailing address
8867 W. Flamingo Rd.
Las Vegas, NV 89147
Registry dates
- Enumerated
- 2015-12-09
- Last updated
- 2015-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.