Individual
MATTHEW DALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
7656 W SAHARA AVE STE 110, LAS VEGAS, NV 89117-2773
(702) 467-0308
Mailing address
8108 PECAN VALLEY AVE, LAS VEGAS, NV 89131-4657
(702) 467-0308
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
39944-DI-0
NV
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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