Individual
BERNARD TESORERO ANCHETA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2585 S NELLIS BLVD STE 6, LAS VEGAS, NV 89121-7548
(702) 641-0481
Mailing address
5055 LINDELL RD APT 2117, LAS VEGAS, NV 89118-1266
(650) 245-3649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7092
NV
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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