Individual
MR. DANTE DENECKO REDIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 COMMUNITY COLLEGE DR, LAS VEGAS, NV 89146-1144
(702) 682-8844
Mailing address
1330 FAIRCHILD ST, LAS VEGAS, NV 89110-1811
(702) 682-8844
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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