Individual
DR. DANIEL VIZCONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9560 W SKYE CANYON PARK DR STE 100, LAS VEGAS, NV 89166-6802
(702) 800-5711
Mailing address
2305 BABCOCK DR, LAS VEGAS, NV 89134-0167
(562) 242-9900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8079
NV
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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