Individual
JETT JUSTIN ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5514 CAMINO AL NORTE STE A2, NORTH LAS VEGAS, NV 89031-0807
(702) 827-1352
Mailing address
5514 CAMINO AL NORTE STE A2, NORTH LAS VEGAS, NV 89031-0807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8046
NV
Other
Enumeration date
05/25/2023
Last updated
10/15/2024
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