# AXIOM DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Axiom West
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922657808
- **Authorized official:** BEATRIZ HERNANDEZ (SUPERVISOR)
- **Authorized official phone:** (714) 578-6591

## Contact information

- **Practice address:** 410 S RAMPART BLVD STE 360, LAS VEGAS, NV 89145-5730
- **Practice address phone:** (702) 228-2218
- **Practice address fax:** (702) 228-7411
- **Mailing address:** 4358 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
- **Mailing address phone:** (714) 578-6591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2019
- **Last updated:** 09/04/2019