| Delicate Oral Surgery | |
|
9450 West Russell Road Suite 102 Las Vegas NV 89148-8914 | |
| (702) 806-7439 | |
| (702) 570-3424 |
| Full Name | Delicate Oral Surgery |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9450 West Russell Road Suite 102, Las Vegas, Nevada |
| Authorized Official Name and Position | Monica Renee Ponce (OWNER) |
| Authorized Official Contact | 7028067439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delicate Oral Surgery 8036 Barndance Ct Las Vegas NV 89149-4754 Ph: (702) 806-7439 | Delicate Oral Surgery 9450 West Russell Road Suite 102 Las Vegas NV 89148-8914 Ph: (702) 806-7439 |
| NPI Number | 1164050365 |
|---|---|
| Provider Enumeration Date | 04/01/2020 |
| Last Update Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164050365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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