Las Vegas Oral Surgery INC
Dentist, Oral and Maxillofacial Surgery in Las Vegas, NV. Organization (NPI-2).
NPI number1487828356
StatusActive
Last updated in NPPESApr 22, 2008
Details
- NPI
- 1487828356
- Entity type
- Organization (NPI-2)
- Legal business name
- Las Vegas Oral Surgery INC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2008
- Last updated
- Apr 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | S2-26 | NV | Yes |
Other names
- Las Vegas Oral Surgery (Doing Business As)
Practice location
7670 W Lake Mead BlvdSuite 130
Las Vegas, NV 89128-6649
Phone 702-312-2273 · Fax 702-312-2276
Mailing address
7670 W Lake Mead BlvdSuite 130
Las Vegas, NV 89128-6649
Phone 702-312-2273 · Fax 702-312-2276
Authorized official
Kevin M Martin
Owner
7022048862
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