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Individual

LARRY ONEAL STAPLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2345 E. CENTENNIAL PARKWAY, 110, NORTH LAS VEGAS, NV 89081-5605
(702) 991-0404
(702) 991-0402
Mailing address
2345 E. CENTENNIAL PARKWAY, 110, NORTH LAS VEGAS, NV 89081-5605
(702) 991-0404
(702) 991-0402

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
133766
UT
122300000X
Dentist
Primary
4667
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4667
NEVADA STATE BOARD OF DENTISTRY
NV
Enumeration date
08/20/2006
Last updated
02/01/2011
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