Provider Demographics
NPI:1275763328
Name:LAURIE B ABRAMS D.M.D.
Entity Type:Organization
Organization Name:LAURIE B ABRAMS D.M.D.
Other - Org Name:JUST FOR KIDS DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-740-5437
Mailing Address - Street 1:9827 W TROPICANA AVE
Mailing Address - Street 2:STE #140
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8487
Mailing Address - Country:US
Mailing Address - Phone:702-740-5437
Mailing Address - Fax:
Practice Address - Street 1:9827 W TROPICANA AVE
Practice Address - Street 2:STE #140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8487
Practice Address - Country:US
Practice Address - Phone:702-740-5437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty