Individual
ANJALI SORATHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(714) 306-4075
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(714) 306-4075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8005
NV
Other
Enumeration date
02/27/2024
Last updated
08/01/2024
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