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Oral Surgery, Dental Specialists

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Las Vegas, Nevada

Provider NPI: 1306186069

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
Tel: 702-360-4600  Fax: 702-233-0092

Business Mailing Address:
Tel: 702-360-4600  Fax: 702-233-0092

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y1223E0200XDental Providers


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