Individual
MS. NANTIYA HARNUKAL JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S
Contact information
Practice address
9155 W FLAMINGO RD, 120, LAS VEGAS, NV 89147-6894
(702) 838-8112
(702) 838-1907
Mailing address
2941 AQUALINE CT, LAS VEGAS, NV 89117-2576
(702) 242-4249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3225
NV
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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