Individual
DR. COLETTE LAREE FUGLAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9895 S MARYLAND PKWY STE A, LAS VEGAS, NV 89183-7165
(702) 372-4039
Mailing address
9895 S MARYLAND PKWY STE A, LAS VEGAS, NV 89183-7165
(702) 372-4039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7381
NV
Other
Enumeration date
06/26/2020
Last updated
08/02/2023
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