Individual
DR. JED M FELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
2871 N TENAYA WAY, LAS VEGAS, NV 89128-0452
(702) 341-8668
(702) 341-7044
Mailing address
2871 N TENAYA WAY, LAS VEGAS, NV 89128-0452
(702) 341-8668
(702) 341-7044
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4343 (S3-65)
NV
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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