Organization
SOUTHERN NEVADA ORTHODONTICS, LLC
Active
Organization
SOUTHERN NEVADA ORTHODONTICS, LLC
Active
Other names
Southern Nevada Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON H TAM DDS (OWNER)
(702) 909-2900
Entity
Organization
Contact information
Practice address
6870 S RAINBOW BLVD STE 112, LAS VEGAS, NV 89118-2108
(702) 909-2900
Mailing address
6870 S RAINBOW BLVD STE 112, LAS VEGAS, NV 89118-2108
(702) 909-2900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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