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General NPI Number Information
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NPI Number | 1518773100
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Entity Type | Organization
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Legal Business Name | RESSLER COMPREHENSIVE DENTISTRY
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 6115 S RAINBOW BLVD STE 102
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City | LAS VEGAS
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State | NV
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Zip | 89118-3252
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Country | US
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Telephone | 702-880-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 6115 S RAINBOW BLVD STE 102
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City | LAS VEGAS
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State | NV
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Zip | 89118-3252
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Country | US
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Telephone | 702-880-4141
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BOWEN RESSLER
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Credential | DMD
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Telephone | 808-769-1993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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