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General NPI Number Information
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NPI Number | 1093666224
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Entity Type | Organization
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Legal Business Name | DAVID L MAHON DDS LTD
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 10075 S EASTERN AVE STE 107
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City | HENDERSON
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State | NV
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Zip | 89052-3974
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Country | US
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Telephone | 702-567-0000
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Fax | 702-567-1777
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Provider Business Mailing Address
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Address Line | 10075 S EASTERN AVE STE 107
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City | HENDERSON
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State | NV
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Zip | 89052-3974
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Country | US
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Telephone | 702-567-0000
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Fax | 702-567-1777
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Authorized Official
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Title or Position | OWNER
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Name | DAVID MAHON
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Credential | DDS
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Telephone | 702-306-4708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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