Individual
SAMANTHA BLASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9940 W FLAMINGO RD STE 105, LAS VEGAS, NV 89147-8553
(702) 933-1300
Mailing address
1201 EATON DR, LAS VEGAS, NV 89102-1935
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7855
NV
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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