Individual
DR. JORGE A. VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3945 S MARYLAND PKWY, STE. #A, LAS VEGAS, NV 89119-7562
(702) 735-3838
(702) 735-3880
Mailing address
526 S TONOPAH DR, STE. 200, LAS VEGAS, NV 89106-4043
(702) 291-2031
(702) 366-1483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4582T
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447420476
—
NV
Enumeration date
03/05/2008
Last updated
08/22/2016
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