Individual
KRISTEN MICHELLE KUDREWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8430 FARM RD, STE. 120, LAS VEGAS, NV 89131-8166
(702) 732-1010
(702) 658-6832
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
5575
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467647842
—
NV
Enumeration date
09/10/2007
Last updated
08/03/2016
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