NPI 1003014101
Modelo Dental Center
Practice location
- Address
- 4660 S Eastern Ave STE 101, Las Vegas, NV 89119-6138
- Phone
- (702) 436-6186
- Fax
- (702) 436-3276
Authorised official
- Name
- Bertha O. Alarcon
- Title
- Coe
- Phone
- (702) 436-6186
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003014101
- Entity type
- Organization
- NPI issued
- 10 Jul 2007
- Record last updated
- 10 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.