MEDICARE: ARMAND G VIRTUOSO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5801	NV

General Provider Information

NPI Number	:	1447499173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMAND G VIRTUOSO

Provider Business Mailing Address
First Line	:	2202 W CHARLESTON BLVD
Second Line	:	#10
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2232
Country	:	US
Telephone Number	:	702-889-1381
Fax Number	:	702-823-5980

Provider Business Practice Location Address
First Line	:	2202 W CHARLESTON BLVD
Second Line	:	#10
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2232
Country	:	US
Telephone Number	:	702-889-1381
Fax Number	:	702-823-5980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2009
Last Update Date	:	11/10/2009

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Directions to “ ARMAND G VIRTUOSO ” Practice Location

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