Individual
ALFRED ADDISON THRESHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9500 W FLAMINGO RD STE 102, LAS VEGAS, NV 89147-5720
(702) 254-4335
(702) 254-7995
Mailing address
9500 W FLAMINGO RD STE 102, LAS VEGAS, NV 89147-5720
(702) 254-4335
(702) 254-7995
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-56
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511177
—
NV
Enumeration date
11/21/2006
Last updated
07/09/2007
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