Individual
DR. JASON T VANLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2811 N GREEN VALLEY PKWY, HENDERSON, NV 89014-0401
(702) 434-2219
Mailing address
2811 N GREEN VALLEY PKWY, HENDERSON, NV 89014-0401
(702) 434-2219
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-219
NV
Other
Enumeration date
01/03/2007
Last updated
04/27/2011
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