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DESTINY NWAUGBALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7125 N DURANGO DR, LAS VEGAS, NV 89149-4466
(702) 658-2311
Mailing address
2775 W PEBBLE RD UNIT 313, LAS VEGAS, NV 89123-6562
(281) 818-0971

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7287
NV

Other

Enumeration date
10/02/2019
Last updated
10/02/2019
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