Organization
GARRETT H. ARIZALA, O.D., PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT ARIZALA O.D. (OWNER)
(702) 307-0828
Entity
Organization
Contact information
Practice address
1910 E SERENE AVE, LAS VEGAS, NV 89123-3227
(702) 307-0828
Mailing address
3717 JULIUS CT, LAS VEGAS, NV 89129-5519
(702) 307-0828
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
298
NV
Other
Enumeration date
08/08/2009
Last updated
08/08/2009
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