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NPI Code Detail

MEDICARE: MR. WESTON JOSEPH MILNE

MEDICARE: MR. WESTON JOSEPH MILNE
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
11223P0221XPediatric DentistryS6-187NV

General Provider Information

NPI Number : 1295231058
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WESTON JOSEPH MILNE
Provider Business Mailing Address
First Line : 685 MONUMENT POINT ST
Second Line :
City : HENDERSON
State : NV
Zip : 89002-0506
Country : US
Telephone Number : 702-469-4648
Fax Number :
Provider Business Practice Location Address
First Line : 3196 S MARYLAND PKWY STE 307
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2314
Country : US
Telephone Number : 702-623-1633
Fax Number : 520-770-2781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2018
Last Update Date : 08/17/2020

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Directions to “ MR. WESTON JOSEPH MILNE ” Practice Location

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