Individual
JEREMY D CREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1860 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1949
(702) 843-0946
Mailing address
122 MANGO CT, HENDERSON, NV 89015-2401
(702) 985-1925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7410
NV
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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