Organization
A. TED TWESME, D.D.S., LTD.
Active
Other names
A. Ted Twesme, D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT THEODORE TWESME D.D.S. (PRESIDENT)
(702) 436-0900
Entity
Organization
Contact information
Practice address
4544 S PECOS RD, LAS VEGAS, NV 89121-5923
(702) 436-0900
(702) 436-0636
Mailing address
4544 S PECOS RD, LAS VEGAS, NV 89121-5923
(702) 436-0900
(702) 436-0636
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
S2-14
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202018
—
NV
Enumeration date
03/24/2008
Last updated
03/24/2008
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