Provider Demographics
NPI:1487902573
Name:RED HILLS DENTAL, LLC
Entity type:Organization
Organization Name:RED HILLS DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GURBRINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-435-5015
Mailing Address - Street 1:9770 S MARYLAND PKWY
Mailing Address - Street 2:#8
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7142
Mailing Address - Country:US
Mailing Address - Phone:702-463-7300
Mailing Address - Fax:702-463-7200
Practice Address - Street 1:9770 S MARYLAND PKWY
Practice Address - Street 2:#8
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7142
Practice Address - Country:US
Practice Address - Phone:702-463-7300
Practice Address - Fax:702-463-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-21
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS6-811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty