Individual
VIRGINIA SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1070 N RANCHO DR, LAS VEGAS, NV 89106-1008
(702) 648-3701
(702) 648-7343
Mailing address
1070 N RANCHO DR, LAS VEGAS, NV 89106-1008
(702) 648-3701
(702) 648-7343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5957
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5957
DENTAL LICENSE
NV
Enumeration date
11/01/2006
Last updated
07/21/2022
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