Organization
JOHNSON IMPLANT DENTISRTY ASSOCIATES
Active
Other names
ClearChoice Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARISTIDES A TSIKOUDAKIS DMD (MAXILLOFACIAL PROSTHODONTIST)
(702) 739-6452
Entity
Organization
Contact information
Practice address
6460 MEDICAL CENTER ST, SUITE 300, LAS VEGAS, NV 89148-2406
(702) 739-6452
(702) 739-6654
Mailing address
6460 MEDICAL CENTER ST, SUITE 300, LAS VEGAS, NV 89148-2406
(702) 739-6452
(702) 739-6654
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2000203290
NV
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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