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Individual

DR. ERIC D SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,D.M.D.

Contact information

Practice address
2030 E FLAMINGO RD, 288, LAS VEGAS, NV 89119-0818
(702) 892-0833
(702) 892-0906
Mailing address
2030 E FLAMINGO RD, 288, LAS VEGAS, NV 89119-0818
(702) 892-0833
(702) 892-0906

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9150
NV
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
9150
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20-18240
NV
Enumeration date
09/28/2006
Last updated
02/23/2010
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