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NPI Code Detail

MEDICARE: DR. PATRICK S CORPUZ DMD

MEDICARE: DR. PATRICK S CORPUZ DMD
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
1122300000XDentist7571NV

General Provider Information

NPI Number : 1851054894
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK S CORPUZ DMD
Provider Business Mailing Address
First Line : 6162 KINDLEWOOD COVE WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5326
Country : US
Telephone Number : 702-556-3378
Fax Number :
Provider Business Practice Location Address
First Line : 10870 W CHARLESTON BLVD STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1170
Country : US
Telephone Number : 702-254-6412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2021
Last Update Date : 10/18/2021

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Directions to “ DR. PATRICK S CORPUZ DMD” Practice Location

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