Individual
CHARLENE MO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2250 S RANCHO DR STE 205, LAS VEGAS, NV 89102-4456
(702) 291-2031
Mailing address
2250 S RANCHO DR STE 205, LAS VEGAS, NV 89102-4456
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-188
NV
Other
Enumeration date
11/02/2018
Last updated
11/10/2020
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