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Organization
VANLUE ORTHODONTICS, PC
Active
Organization
VANLUE ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON VANLUE DMD (PRESIDENT)
(317) 985-8040
Entity
Organization
Contact information
Practice address
9855 W. DEER SPRINGS WAY, SUITE 150, LAS VEGAS, NE 89149
(317) 985-8040
Mailing address
5821 CORTE DE CASA CIR, LAS VEGAS, NV 89149-1267
(317) 985-8040
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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