Individual
BRYCE HASLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4380 BLUE DIAMOND RD STE 102, LAS VEGAS, NV 89139-7786
(702) 425-4424
(702) 875-4320
Mailing address
4380 BLUE DIAMOND RD STE 102, LAS VEGAS, NV 89139-7786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6531
NV
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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