Organization
MJD, LLC
Active
Parent organization
MJD, LLC
Other names
NevadaOMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MJD, LLC
Authorized official
DR. MICHEL JOSEPH DACCACHE DDS (OWNER)
(702) 750-9444
Entity
Organization
Contact information
Practice address
4544 S PECOS RD, LAS VEGAS, NV 89121-5923
(702) 436-0900
(702) 436-0636
Mailing address
4544 S PECOS RD, LAS VEGAS, NV 89121-5923
(702) 436-0900
(702) 436-0636
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-112C
NV
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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