WATANABE SHADOW MOUNTAIN DENTAL GROUP, PROFESSIONAL CORPORATION is a general practice dentist in Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WATANABE SHADOW MOUNTAIN DENTAL GROUP, PROFESSIONAL CORPORATION NPI is 1427238534. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shadow Mountain Dental Group.
The provider's business location address is:
6525 N DECATUR BLVD
SUITE 150
LAS VEGAS, NV
ZIP 89131
Phone: (702) 577-1941
Fax: (702) 395-7813
The provider's authorized official is Lynda C Watanabe .
The authorized official title is Owner Doctor and has the following contact phone number (702) 577-1941.
The CLIA number assigned to this NPI record is 29D2263732 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/6/2007 and was last updated on 11/7/2007.