Individual
MR. DOMINIC DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3211 N. TENAYA WAY, STE 122, LAS VEGAS, NV 89129
(702) 641-2300
(702) 641-2323
Mailing address
3211 N. TENAYA WAY, STE 122, LAS VEGAS, NV 89129
(702) 641-2300
(702) 641-2323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4817
NV
1223G0001X
General Practice Dentistry
53205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356575328
—
NV
Enumeration date
10/05/2006
Last updated
07/15/2009
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