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Individual

DR. BLAIR ABBOTT ISOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., F.A.G.D.

Contact information

Practice address
500 N. RAINBOW BLVD, SUITE 315, LAS VEGAS, NV 89107-1085
(702) 645-1323
(702) 645-8807
Mailing address
500 N RAINBOW BLVD, SUITE 315, LAS VEGAS, NV 89107-1082
(702) 645-1323
(702) 870-7058

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2260
NV

Other

Enumeration date
04/25/2007
Last updated
02/10/2015
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