Individual
MICHAEL DAVID ST LAURENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4235 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6695
(760) 521-3347
Mailing address
1753 PARK MESA LN, LAS VEGAS, NV 89128-2649
(760) 521-3347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7396
NV
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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