Organization
TRYLOVICH, GIFFORD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES TRYLOVICH D.D.S., M.S. (OWNER)
(702) 259-1943
Entity
Organization
Contact information
Practice address
3811 W CHARLESTON BLVD, #201, LAS VEGAS, NV 89102-1846
(702) 259-1943
(702) 877-2727
Mailing address
3811 W CHARLESTON BLVD, #201, LAS VEGAS, NV 89102-1846
(702) 259-1943
(702) 877-2727
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2635
NV
1223P0300X
Periodontics
Primary
2707
NV
1223P0300X
Periodontics
5103
NV
1223P0300X
Periodontics
6507
NV
Other
Enumeration date
01/15/2007
Last updated
07/10/2014
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