Individual
KAREN MARIE PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, MSDH
Contact information
Practice address
3074 ARVILLE ST, LAS VEGAS, NV 89102-7490
(702) 889-3763
Mailing address
3074 ARVILLE ST, LAS VEGAS, NV 89102-7490
(702) 889-3763
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3033
NV
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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