# LAS VEGAS ORAL SURGERY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Las Vegas Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487828356
- **Authorized official:** KEVIN M MARTIN DDS (OWNER)
- **Authorized official phone:** (702) 204-8862

## Contact information

- **Practice address:** 7670 W LAKE MEAD BLVD, SUITE 130, LAS VEGAS, NV 89128-6649
- **Practice address phone:** (702) 312-2273
- **Practice address fax:** (702) 312-2276
- **Mailing address:** 7670 W LAKE MEAD BLVD, SUITE 130, LAS VEGAS, NV 89128-6649
- **Mailing address phone:** (702) 312-2273
- **Mailing address fax:** (702) 312-2276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | S2-26 | NV | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008