Individual
MATTHEW GEORGE KAIMI MASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3140 S DURANGO DR, SUITE 100, LAS VEGAS, NV 89117-9189
(702) 362-1856
Mailing address
1077 VIA PRATO LN, HENDERSON, NV 89011-0600
(949) 422-5217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6295
NV
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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