Individual
DR. BRIAN PAUL MANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
3811 W CHARLESTON BLVD, SUITE 201, LAS VEGAS, NV 89102-1836
(702) 259-1943
(702) 877-2727
Mailing address
3811 W CHARLESTON BLVD, SUITE 201, LAS VEGAS, NV 89102-1836
(702) 259-1943
(702) 877-2727
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6507
NV
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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