Individual
DR. MICHEL DACCACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1701 W CHARLESTON BLVD STE 520, LAS VEGAS, NV 89102-2309
(702) 750-9444
Mailing address
2199 STAGE STOP DR, HENDERSON, NV 89052-5825
(775) 750-6789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS037022
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-112C
NV
Other
Enumeration date
08/21/2008
Last updated
03/30/2017
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