Individual
STEPHANIE MARC CASEQUIN BATISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6765 W RUSSELL RD STE 170, LAS VEGAS, NV 89118-1862
(702) 291-2031
(702) 410-9402
Mailing address
6423 POINT ISABEL WAY, LAS VEGAS, NV 89122-7640
(818) 384-5407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7548
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/28/2021
Last updated
01/10/2026
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