Individual
SPENCER J FADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10870 W CHARLESTON BLVD, 170, LAS VEGAS, NV 89135-1158
(702) 254-6412
(702) 254-9558
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6658
NV
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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