Individual
MAIRELYS ONATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2212 S EASTERN AVE, LAS VEGAS, NV 89104-4124
(702) 735-9334
Mailing address
255 LANCASTER DR NE, SALEM, OR 97301-5155
(503) 576-5155
(503) 364-0775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7985
NV
122300000X
Dentist
D10780
OR
1223G0001X
General Practice Dentistry
D10780
OR
Other
Enumeration date
07/06/2016
Last updated
09/26/2024
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