Organization
MJD, LLC
Active
Other names
Nevada OMS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL DACCACHE DDS (OWNER)
(702) 750-9444
Entity
Organization
Contact information
Practice address
1701 W CHARLESTON BLVD, 520, LAS VEGAS, NV 89102-2325
(702) 750-9444
(702) 750-9442
Mailing address
1701 W CHARLESTON BLVD, 520, LAS VEGAS, NV 89102-2325
(702) 750-9444
(702) 750-9442
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-112C
NV
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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