Individual
DR. MARK KEYAN TADRISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7720 W SAHARA AVE STE 107, LAS VEGAS, NV 89117-2754
(702) 862-4088
Mailing address
7720 W SAHARA AVE STE 107, LAS VEGAS, NV 89117-2754
(702) 862-4088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3086
NV
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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