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DURANGO ORTHODONTICS, LLLP

Dental Providers Dentist Orthodontics and Dentofacial Orthopedics

Provider NPI: 1619121159

Organization Information:
Organization Name:  DURANGO ORTHODONTICS, LLLP
Organization is not Subpart
Authorized Official:  JAMES K MAH  PARTNER  702-750-2400

Practice Location:
6002 S DURANGO DR SUITE 100 LAS VEGAS, NV 89113-1785 US
Tel: 702-750-2400  Fax: 702-750-2401

Business Mailing Address:
PO BOX 400760  LAS VEGAS, NV 89140-0760 US
Tel: 702-750-2400  Fax: 702-750-2401

NPI Information:
NPI: 1619121159
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
NVS3-166
Y1223X0400XDental Providers
Dentist
NVS3-138

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 1223X0400X

Type:

Classification:



Definition:



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