Organization
UNLV ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MAH DMD (PROGRAM DIRECTOR)
(702) 774-2698
Entity
Organization
Contact information
Practice address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 706-4270
Mailing address
4471 DEAN MARTIN DR, APT 3209, LAS VEGAS, NV 89103-4251
(201) 264-5671
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6528
NV
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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