Organization
TIMOTHY P. REARDON D.D.S., M.S.
Active
Organization
TIMOTHY P. REARDON D.D.S., M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY P. REARDON D.D.S., M.S. (PRESIDENT)
(702) 260-8241
Entity
Organization
Contact information
Practice address
8490 S EASTERN AVE STE A, LAS VEGAS, NV 89123-2806
(702) 260-8241
(702) 260-8251
Mailing address
8490 S EASTERN AVE STE A, LAS VEGAS, NV 89123-2806
(702) 260-8241
(702) 260-8251
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64270
NV
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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