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Organization
CENTER FOR SURGICAL ARTS LLC
Active
Organization
CENTER FOR SURGICAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS H LETELIER MD.,DMD.,DDS. (DOCTOR)
(702) 367-6666
Entity
Organization
Contact information
Practice address
10115 W TWAIN AVE, STE 100, LAS VEGAS, NV 89147
(702) 367-6666
(702) 367-9555
Mailing address
10115 W TWAIN AVE, STE 100, LAS VEGAS, NV 89147
(702) 367-6666
(702) 367-9555
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9658
NV
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
9658
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502133
—
NV
Enumeration date
03/30/2007
Last updated
12/14/2021
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