Organization
BLAIR A ISOM DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR A ISOM DDS (OWNER)
(702) 645-1323
Entity
Organization
Contact information
Practice address
7180 CASCADE VALLEY CT STE 100, LAS VEGAS, NV 89128-1407
(702) 645-1323
(702) 645-8807
Mailing address
7180 CASCADE VALLEY CT STE 100, LAS VEGAS, NV 89128-1407
(702) 645-1323
(702) 645-8807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2260
NV
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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