# CENTER FOR SURGICAL ARTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215057336
- **Authorized official:** DR. CARLOS H LETELIER MD.,DMD.,DDS. (DOCTOR)
- **Authorized official phone:** (702) 367-6666

## Contact information

- **Practice address:** 10115 W TWAIN AVE, STE 100, LAS VEGAS, NV 89147
- **Practice address phone:** (702) 367-6666
- **Practice address fax:** (702) 367-9555
- **Mailing address:** 10115 W TWAIN AVE, STE 100, LAS VEGAS, NV 89147
- **Mailing address phone:** (702) 367-6666
- **Mailing address fax:** (702) 367-9555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9658 | NV | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 9658 | NV | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 12/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100502133 | — | NV |