Individual
JUSTIN DURRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10358521-9922
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S2-198C
NV
Other
Enumeration date
04/30/2017
Last updated
04/21/2024
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