Individual
DR. TIMOTHY P REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
8490 S EASTERN AVE, SUITE A, LAS VEGAS, NV 89123-2805
(702) 260-8241
(702) 260-8251
Mailing address
8490 S EASTERN AVE, SUITE A, LAS VEGAS, NV 89123-2805
(702) 260-8241
(702) 260-8251
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
NV19991455879
NV
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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