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Organization

DYNASTY SURGICAL SYSTEMS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ISAAC RAPHAEL RHINO CSFA (CERTIFIED SURGICAL FIRST ASSISTANT)
(702) 290-6260
Entity
Organization

Contact information

Practice address
6671 LAS VEGAS BLVD S UNIT D-210, LAS VEGAS, NV 89119-3273
(702) 800-6451
Mailing address
6671 LAS VEGAS BLVD S UNIT D-210, LAS VEGAS, NV 89119-3273
(702) 800-6451

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
01/19/2021
Last updated
02/04/2021
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