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Individual

DR. PATRICK S CORPUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
10870 W CHARLESTON BLVD STE 170, LAS VEGAS, NV 89135-1170
(702) 254-6412
Mailing address
6162 KINDLEWOOD COVE WAY, LAS VEGAS, NV 89148-5326
(702) 556-3378

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7571
NV

Other

Enumeration date
10/18/2021
Last updated
10/18/2021
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