Organization
REBEL ORTHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY SOARD DMD (OWNER)
(702) 742-5824
Entity
Organization
Contact information
Practice address
1306 W CRAIG RD STE H, NORTH LAS VEGAS, NV 89032-0215
(702) 633-4333
Mailing address
1306 W CRAIG RD STE H, NORTH LAS VEGAS, NV 89032-0215
(702) 633-4333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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