Organization
AXIOM DENTISTRY, LLC
Active
Other names
Axiom West
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ HERNANDEZ (SUPERVISOR)
(714) 578-6591
Entity
Organization
Contact information
Practice address
410 S RAMPART BLVD STE 360, LAS VEGAS, NV 89145-5730
(702) 228-2218
(702) 228-7411
Mailing address
4358 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(714) 578-6591
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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