Individual
DR. JUSTIN T PERDICHIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2391 NORTH TENAYA WAY, SUITE 206, LAS VEGAS, NV 89128-0458
(702) 228-7575
(702) 240-6373
Mailing address
2391 NORTH TENAYA WAY, SUITE 206, LAS VEGAS, NV 89128-0458
(702) 228-7575
(702) 240-6373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6340
NV
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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