Organization
ALLURA ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAWAN GAUTAM DMD, MDS (ORTHODONTIST)
(702) 489-5237
Entity
Organization
Contact information
Practice address
3039 W HORIZON RIDGE PKWY, SUITE 100, HENDERSON, NV 89052-4192
(702) 489-5237
Mailing address
3039 W HORIZON RIDGE PKWY, SUITE 100, HENDERSON, NV 89052-4192
(702) 489-5237
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-245C
NV
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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