The Center For Oral Surgery Of Las Vegas | |
10115 W Twain Ave Ste 100 Las Vegas NV 89147-6718 | |
(702) 367-6666 | |
(702) 367-9555 |
Full Name | The Center For Oral Surgery Of Las Vegas |
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Speciality | Clinic/Center |
Location | 10115 W Twain Ave, Las Vegas, Nevada |
Authorized Official Name and Position | Carlos H Letelier (OWNER) |
Authorized Official Contact | 7023676666 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Center For Oral Surgery Of Las Vegas 10115 W Twain Ave Ste 100 Las Vegas NV 89147-6718 Ph: (702) 367-6666 | The Center For Oral Surgery Of Las Vegas 10115 W Twain Ave Ste 100 Las Vegas NV 89147-6718 Ph: (702) 367-6666 |
NPI Number | 1285025130 |
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Provider Enumeration Date | 02/13/2015 |
Last Update Date | 12/14/2021 |
Medicare PECOS PAC ID | 7214329598 |
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Medicare Enrollment ID | O20220118002233 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285025130 | NPI | - | NPPES |
1689614893 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Carlos H Letelier |
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Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1689614893 PECOS PAC ID: 9830121458 Enrollment ID: I20050903000014 |
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