Organization · NPI-2

Aaron Kubicek PC

Dentist, General Practice · Las Vegas, NV

NPI number1578786356
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1578786356
Entity type
Organization (NPI-2)
Legal business name
Aaron Kubicek PC
Organization subpart
No
Enumeration date
Apr 11, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice4537NVYes

Practice location

4855 S Pecos Rd
B1
Las Vegas, NV 89121-5829

Phone 702-434-0725

Mailing address

Po Box 50126
Henderson, NV 89016-0126

Authorized official

Aaron Kubicek
Director
7023684514

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