Individual
DR. MONICA RENEE PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9450 W RUSSELL RD STE 102, LAS VEGAS, NV 89148-5690
(702) 570-3320
(702) 570-3424
Mailing address
9450 W RUSSELL RD STE 102, LAS VEGAS, NV 89148-5690
(702) 570-3320
(702) 570-3424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3063
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002202048
—
NV
Enumeration date
02/17/2006
Last updated
09/29/2021
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