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29D2264470 CLIA NUMBER - HORIZON RIDGE MODERN DENTISTRY

Laboratory Demographics

CLIA Number: 29D2264470

Facility Name: HORIZON RIDGE MODERN DENTISTRY

Facility Address:
10525 S EASTERN AVENUE, SUITE 100
HENDERSON, NV
ZIP 89052
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Facility Phone Number: 702 508-0906

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1508257676

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 29D2264470
LAB Type Practitioner Other
Facility Name HORIZON RIDGE MODERN DENTISTRY
Street 10525 S EASTERN AVENUE, SUITE 100
City HENDERSON
State NV
ZIP 89052
Phone 702 508-0906
CertificateType 4
CertificateEffectiveDate 7/14/2022
CertificateExpirationDate 7/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024