Individual
DR. POUYA MOMTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
4045 S EASTERN AVE, LAS VEGAS, NV 89119-5101
(702) 892-9878
Mailing address
4045 S EASTERN AVE, LAS VEGAS, NV 89119-5101
(702) 892-9878
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-304
NV
Other
Enumeration date
06/14/2011
Last updated
05/07/2020
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