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General NPI Number Information
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NPI Number | 1912457284
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Entity Type | Organization
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Legal Business Name | CHRISTELLE Y ALHWAYEK DMD, PLLC
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | 1111 N DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89108-1220
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Country | US
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Telephone | 702-636-5553
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Fax | 844-318-0949
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Provider Business Mailing Address
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Address Line | 1111 N DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89108-1220
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Country | US
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Telephone | 702-636-5553
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. CHRISTELLE ALHWAYEK
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Credential | DMD
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Telephone | 702-985-1795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6678
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License Number State | NV
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