Organization
GREGORY PO DENTISTRY, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PO (OWNER)
(702) 562-9031
Entity
Organization
Contact information
Practice address
4825 S RAINBOW BLVD, LAS VEGAS, NV 89103-4914
(702) 731-1000
Mailing address
8812 CORTILE DR, LAS VEGAS, NV 89134-6152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4425
NV
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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