Individual
GREYSON LEFTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413665
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401413665
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S2-215C
NV
Other
Enumeration date
08/21/2012
Last updated
10/14/2024
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