Individual
TAM TIMOTHY DUY PHANLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9285 S CIMARRON RD, LAS VEGAS, NV 89178-2550
(702) 433-5355
Mailing address
9285 S CIMARRON RD, LAS VEGAS, NV 89178-2550
(702) 433-5355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7991
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2023
Last updated
09/12/2024
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