Organization
AXIOM DENTISTRY, LLC
Active
Organization
AXIOM DENTISTRY, LLC
Active
Other names
Axiom East
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ HERNANDEZ (SUPERVISOR)
(714) 578-6591
Entity
Organization
Contact information
Practice address
8965 S EASTERN AVE # 110, LAS VEGAS, NV 89123-4891
(702) 387-6453
Mailing address
4358 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(714) 578-6591
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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