Individual
DR. NISCHAL NATHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2217 E LAKE MEAD BLVD # A, NORTH LAS VEGAS, NV 89030-7137
(702) 641-5888
(702) 633-0099
Mailing address
2217 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-7137
(702) 641-5888
(702) 633-0099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6697
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689838005
—
NV
Enumeration date
07/15/2008
Last updated
11/01/2019
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