Individual
DR. JOSEPH S SODERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
1700 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2335
(702) 774-2690
Mailing address
1700 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2335
(702) 774-2690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7664
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1771556
ID
390200000X
Student in an Organized Health Care Education/Training Program
7664
NV
Other
Enumeration date
04/29/2022
Last updated
04/24/2025
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