Organization
CURRENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH WILLS D.M.D. (DENTIST)
(702) 257-9177
Entity
Organization
Contact information
Practice address
4205 S GRAND CANYON DR STE 19, LAS VEGAS, NV 89147-7152
(702) 257-9177
Mailing address
4205 S GRAND CANYON DR STE 19, LAS VEGAS, NV 89147-7152
(702) 257-9177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6329
NV
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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