Individual
ILIANA SARAHI LOPEZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 VISTA BLVD STE 112, SPARKS, NV 89436-6704
(775) 409-4605
Mailing address
3150 VISTA BLVD STE 112, SPARKS, NV 89436-6704
(775) 409-4605
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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