Organization
MATTHEW KIKUCHI DMD PLLC
Active
Organization
MATTHEW KIKUCHI DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW KIKUCHI DMD (SOLE MEMBER)
(702) 343-4720
Entity
Organization
Contact information
Practice address
5765 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5625
(702) 876-6337
(702) 876-2988
Mailing address
5765 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5625
(702) 876-6337
(702) 876-2988
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
S2-138
NV
Other
Enumeration date
08/31/2015
Last updated
07/19/2019
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