Individual
KEATON MATTHEW TOMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9840 PIPER GLEN PL, LAS VEGAS, NV 89134-6672
(702) 423-0518
Mailing address
9840 PIPER GLEN PL, LAS VEGAS, NV 89134-6672
(702) 423-0518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6538
NV
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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