Individual
BREANNA MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
9285 S CIMARRON RD STE 125, LAS VEGAS, NV 89178
(702) 433-5355
Mailing address
11160 BLACKWATER DRAW STREET, LAS VEGAS, NV 89179
(702) 496-4587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5809
NV
Other
Enumeration date
06/19/2009
Last updated
07/28/2015
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