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3575 S. Town Center Dr. Suite 120 Las Vegas NV 89135 | |
| (702) 869-5700 | |
| (702) 869-6657 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3575 S. Town Center Dr., Las Vegas, Nevada |
| Authorized Official Name and Position | John Soumi (MANAGER) |
| Authorized Official Contact | 7028695700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3575 S. Town Center Dr. #120 Las Vegas NV 89135 Ph: (702) 869-5700 | 3575 S. Town Center Dr. Suite 120 Las Vegas NV 89135 Ph: (702) 869-5700 |
| NPI Number | 1023263365 |
|---|---|
| Provider Enumeration Date | 12/01/2008 |
| Last Update Date | 01/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023263365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3502 (Nevada) | Primary |
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