Individual
JEREMY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2335
(702) 774-2690
Mailing address
1700 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2335
(702) 774-2690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7479
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
NV
Other
Enumeration date
02/20/2021
Last updated
12/10/2021
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