Organization
DR. MICHEL DACCACHE ORAL AND MAXILLOFACIAL SURGERY , LTD
Active
Other names
Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL DACCACHE (OWNER)
(775) 750-6789
Entity
Organization
Contact information
Practice address
1701 W CHARLESTON BLVD, SUITE 520, LAS VEGAS, NV 89102-2325
(702) 750-9444
Mailing address
1701 W CHARLESTON BLVD, #520, LAS VEGAS, NV 89102-2325
(702) 750-9444
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-112C
NV
Other
Enumeration date
04/22/2011
Last updated
03/30/2017
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