Individual
MRS. MARY TERESA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3074 ARVILLE ST, LAS VEGAS, NV 89102-7490
(702) 521-4550
Mailing address
3074 ARVILLE ST, LAS VEGAS, NV 89102-7490
(702) 521-4550
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3420
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245561133
—
NV
Enumeration date
01/17/2010
Last updated
06/28/2019
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