Individual
SARA ENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(808) 366-5607
Mailing address
1700 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 774-2690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7817
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2023
Last updated
10/19/2023
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