Individual
DR. DEREK STUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6870 S RAINBOW BLVD, LAS VEGAS, NV 89118-2106
(702) 825-7342
Mailing address
7410 DARBY AVE, LAS VEGAS, NV 89117-3235
(702) 401-5404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7579
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7579
DENTAL LICENSE NUMBER
NV
Enumeration date
11/09/2021
Last updated
11/09/2021
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