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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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