Organization
BYRON M BLASCO D M D LTD
Active
Other names
Blasco Dental & Aesthetics of Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON MICHAEL BLASCO DMD (DOCTOR)
(702) 933-1300
Entity
Organization
Contact information
Practice address
9940 W FLAMINGO RD STE 105, LAS VEGAS, NV 89147-8553
(702) 933-1300
Mailing address
9940 W FLAMINGO RD STE 105, LAS VEGAS, NV 89147-8553
(702) 933-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992881171
NPPES
—
01
—
2283
STATE DENTAL LICENSE
NV
Enumeration date
02/02/2023
Last updated
01/23/2024
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