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Individual

DR. VINCENT IP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4245 S GRAND CANYON DR, 108, LAS VEGAS, NV 89147-7161
(702) 579-7645
Mailing address
9750 PEACE WAY, #2061, LAS VEGAS, NV 89147-8233

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22901
TX
122300000X
Dentist
Primary
5062
NV
122300000X
Dentist
53391
NY

Other

Enumeration date
09/10/2007
Last updated
07/23/2009
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