Individual
DR. BYRON MICHAEL BLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9940 W FLAMINGO RD STE 105, LAS VEGAS, NV 89147-8553
(702) 933-1300
(844) 662-6121
Mailing address
9940 W FLAMINGO RD STE 240, LAS VEGAS, NV 89147-8386
(702) 933-1300
(844) 662-6121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2283
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2283
NEVADA STATE DENTAL LICENSE
NV
Enumeration date
10/31/2006
Last updated
02/02/2023
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