Organization
SMITH PLASTIC SURGERY BUILDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO MOYA (CEO)
(725) 502-1061
Entity
Organization
Contact information
Practice address
7650 W SAHARA AVE, LAS VEGAS, NV 89117
(702) 371-6921
Mailing address
7650 W SAHARA AVE, LAS VEGAS, NV 89117-2750
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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