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Individual

DR. MANNY RAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1701 N. GREEN VALLEY PKWY #8E, HENDERSON, NV 89074
(702) 492-1955
(702) 492-7663
Mailing address
1701 N. GREEN VALLEY PKWY #8E, HENDERSON, NV 89074
(702) 492-1955
(702) 492-7663

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
3742
NV
1223P0221X
Pediatric Dentistry
Primary
S6-26
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02-0637337
TAX ID #
01
3742
STATE DENTAL LIC NUMBER
NV
01
S6-26
SPECIALTY LICENSE
NV
Enumeration date
07/08/2013
Last updated
07/08/2013
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