Organization
WHETTEN FELLER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEDEDIAH FELLER DDS MSD (MANAGER)
(702) 436-0999
Entity
Organization
Contact information
Practice address
4540 S PECOS RD, LAS VEGAS, NV 89121-5923
(702) 436-0999
Mailing address
4540 S PECOS RD, LAS VEGAS, NV 89121-5923
(702) 436-0999
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S4343
NV
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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