Individual
ALICIA CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7125 N DURANGO DR, LAS VEGAS, NV 89149-4466
(702) 774-2545
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8204
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2025
Last updated
06/28/2025
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