Aqua Kids Dental, Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

S6-81 Issued in NV

Legal business name

AQUA KIDS DENTAL, INC

Doing business as

Aqua Kids Dental

Practice address

3945 S Maryland Pkwy
Suite a
Las Vegas, NV 89119-7562

Phone

(702) 369-8686

Fax

(702) 369-9503

NPI assigned

Aug 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gurbrinder Dhillon

Title

Owner

Phone

(702) 369-8686

Specialties & licenses 1

Addresses

Other names 1

• Aqua Kids Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1801087390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 S MARYLAND PKWY",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197562",
            "telephone_number": "702-369-8686",
            "fax_number": "702-369-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 S MARYLAND PKWY",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197562",
            "telephone_number": "702-369-8686",
            "fax_number": "702-369-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA KIDS DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "GURBRINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-369-8686",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aqua Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Apt LV LLC (Trina Health of Las Vegas)
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• Lourdes Rita Apumayta-Paredes
• Kayrene Apuna-Sabino
• Aquatess NV LLC
• Maureen Doris Aquilina, LCSW
• Yenny Aquino Diaz
• Richie Castro Aquino-Alipio
• Aquino-Vitality Medical Group

• Pediatric Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.