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Organization

MARK I DEGEN DDS MD LTD

Active
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Organization

MARK I DEGEN DDS MD LTD

Active
Other names
Red Rock Oral & Maxillofacial Surgery Centre
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK I DEGEN M.D. DDS (PRESIDENT/OWNER)
70222539090
Entity
Organization

Contact information

Practice address
6140 S FORT APACHE RD STE 120, LAS VEGAS, NV 89148-6737
(702) 253-9090
(702) 253-9083
Mailing address
4730 S. FORT APACHE ROAD, STE 390, LAS VEGAS, NV 89147
(702) 253-9090
(702) 253-9083

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10535
NV
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
10535
NV

Other

Enumeration date
11/21/2007
Last updated
02/27/2026
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