Individual
ERIKA NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2212 S EASTERN AVE, LAS VEGAS, NV 89104-4124
(702) 735-9334
Mailing address
2212 S EASTERN AVE, LAS VEGAS, NV 89104-4124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7554
NV
1223G0001X
General Practice Dentistry
2901601150
MI
Other
Enumeration date
12/09/2021
Last updated
12/09/2022
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