Individual
CHRISTOPHER VIRAVONGSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7101 W CRAIG RD, LAS VEGAS, NV 89129-6058
(702) 722-2324
Mailing address
7101 W CRAIG RD, LAS VEGAS, NV 89129-6058
(702) 722-2324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6773
NV
Other
Enumeration date
07/03/2016
Last updated
07/03/2016
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