Individual
SPENCER CARLILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9750 COVINGTON CROSS DR STE 100, LAS VEGAS, NV 89144-7042
(702) 341-7979
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8002
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2023
Last updated
06/14/2024
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