Individual
GABRIELLE CRUZ AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8710 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89117-5467
(702) 330-8952
Mailing address
8370 W CHEYENNE AVE STE 103, LAS VEGAS, NV 89129-2174
(702) 843-5141
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-211
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05408282
—
NY
Enumeration date
04/11/2016
Last updated
02/01/2025
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