Individual
AARON V LAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10170 WEST TROPICANA AVE, SUITE #155, LAS VEGAS, NV 89147
(702) 248-0081
(702) 248-7123
Mailing address
72 PINE BAY CT, LAS VEGAS, NV 89148
(702) 838-9277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4561
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503172
—
NV
01
—
1606724
UNITE CONCORDIA DMR
NV
Enumeration date
07/29/2006
Last updated
07/08/2007
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