Organization
HOLTZEN & JOHNSON, LTD
Active
Other names
Nevada Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EDWARD NYIKOS (ADMINISTRATOR)
(702) 360-8918
Entity
Organization
Contact information
Practice address
6950 SMOKE RANCH ROAD, STE 200, LAS VEGAS, NV 89128
(702) 360-8918
(702) 360-2504
Mailing address
6950 SMOKE RANCH ROAD, STE 200, LAS VEGAS, NV 89128
(702) 360-8918
(702) 360-2504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3332
NV
Other
Enumeration date
10/05/2006
Last updated
02/04/2008
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