| Red Rock Oral & Maxillofacial Surgery Centre | |
|
4730 S. Fort Apache Road Ste 390 Las Vegas NV 89147 | |
| (702) 253-9090 | |
| (702) 253-9083 |
| Full Name | Red Rock Oral & Maxillofacial Surgery Centre |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 4730 S. Fort Apache Road, Las Vegas, Nevada |
| Authorized Official Name and Position | Mark I Degen (PRESIDENT/OWNER) |
| Authorized Official Contact | 70222539090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Rock Oral & Maxillofacial Surgery Centre 4730 S. Fort Apache Road Ste 390 Las Vegas NV 89147 Ph: (702) 253-9090 | Red Rock Oral & Maxillofacial Surgery Centre 4730 S. Fort Apache Road Ste 390 Las Vegas NV 89147 Ph: (702) 253-9090 |
| NPI Number | 1598946261 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598946261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10535 (Nevada) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | 10535 (Nevada) | Primary |
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