Individual
DR. MARELLA JO TAGATAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8995 W FLAMINGO RD STE 100, LAS VEGAS, NV 89147-0441
(725) 677-1164
Mailing address
342 MOLINETTO ST, LAS VEGAS, NV 89138-3048
(858) 354-6854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7046
NV
1223G0001X
General Practice Dentistry
28449
TX
Other
Enumeration date
11/26/2012
Last updated
09/20/2024
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