Individual
DR. MATTHEW JOHN THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4 SUNSET WAY BLDG B, HENDERSON, NV 89014-2015
(702) 968-7076
Mailing address
12028 HATHAWAY PINES LN, LAS VEGAS, NV 89138-4501
(702) 408-7224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7102
NV
Other
Enumeration date
07/11/2018
Last updated
11/30/2022
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