| Nevadaoms | |
|
4544 S Pecos Rd Las Vegas NV 89121-5923 | |
| (702) 436-0900 | |
| (702) 436-0636 |
| Full Name | Nevadaoms |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4544 S Pecos Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Michel Joseph Daccache (OWNER) |
| Authorized Official Contact | 7027509444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevadaoms 4544 S Pecos Rd Las Vegas NV 89121-5923 Ph: (702) 436-0900 | Nevadaoms 4544 S Pecos Rd Las Vegas NV 89121-5923 Ph: (702) 436-0900 |
| NPI Number | 1205338563 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 03/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205338563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | S2-112C (Nevada) | Primary |
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