Organization
MOUTH FULL OF METAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY DAVIS D.M.D. (MEMBER)
(702) 482-8005
Entity
Organization
Contact information
Practice address
3648 AUCKLAND CASTLE ST, LAS VEGAS, NV 89135-2816
(702) 482-8005
Mailing address
3648 AUCKLAND CASTLE ST, LAS VEGAS, NV 89135-2816
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5697
NV
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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