Individual
CIVON GEWELBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1001 SHADOW LN, MS 7410, LAS VEGAS, NV 89106-4124
(702) 774-2652
Mailing address
7641 COWBOY TRL, LAS VEGAS, NV 89131-2130
(562) 201-5454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6560
NV
Other
Enumeration date
09/14/2012
Last updated
02/03/2015
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