Individual
ALEXANDREA WABARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2212 S EASTERN AVE, LAS VEGAS, NV 89104-4124
(702) 735-9334
(702) 735-9335
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(775) 888-6610
(775) 888-4904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7189
NV
1223G0001X
General Practice Dentistry
32269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417405911
—
NV
Enumeration date
09/14/2016
Last updated
09/11/2020
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