Organization
ENDODONTIC ASSOCIATESLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R RAKICH DDS (MANAGER)
(702) 869-8840
Entity
Organization
Contact information
Practice address
851 S RAMPART BLVD, SUITE # 120, LAS VEGAS, NV 89145-4882
(702) 869-8840
(702) 240-0481
Mailing address
851 S RAMPART BLVD, SUITE # 120, LAS VEGAS, NV 89145-4882
(702) 869-8840
(702) 240-0481
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
S7-24
NV
Other
Enumeration date
12/30/2006
Last updated
08/22/2020
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