Organization
LAS VEGAS ORAL SURGERY INC
Active
Organization
LAS VEGAS ORAL SURGERY INC
Active
Other names
Las Vegas Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M MARTIN DDS (OWNER)
(702) 204-8862
Entity
Organization
Contact information
Practice address
7670 W LAKE MEAD BLVD, SUITE 130, LAS VEGAS, NV 89128-6649
(702) 312-2273
(702) 312-2276
Mailing address
7670 W LAKE MEAD BLVD, SUITE 130, LAS VEGAS, NV 89128-6649
(702) 312-2273
(702) 312-2276
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-26
NV
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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