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NPI Code Detail

MEDICARE: RACHEL MISMAS DDS LLC

MEDICARE: RACHEL MISMAS DDS LLC
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
1261QD0000XDental Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11619015831OTHERCANPI

General Provider Information

NPI Number : 1295334340
Entity Type Code : Organization
Provider Name (Legal Business Name) : RACHEL MISMAS DDS LLC
Provider Business Mailing Address
First Line : 7035 W ANN RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3867
Country : US
Telephone Number : 702-396-2929
Fax Number : 702-658-6435
Provider Business Practice Location Address
First Line : 7035 W ANN RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3867
Country : US
Telephone Number : 702-396-2929
Fax Number : 702-658-6435
Authorized Official
Title or Position : MANAGING MEMBER
Name : RACHEL ANNE MISMAS
Credential : DDS
Telephone Number : 323-334-6058
Provider Enumeration Date : 10/20/2020
Last Update Date : 10/20/2020

Similar Medicare Providers

1619015831 — DR. RACHEL ANNE MISMAS DDS
Practice Location Address:
7035 W ANN RD STE 110
LAS VEGAS, NV
89130-3867
Practice Phone: 702-396-2929
Practice Fax:
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1558150201 — DR. ALEX MADANI DMD
Practice Location Address:
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Practice Phone: 702-465-9760
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1922102011 — FOSTER MEDICAL SUPPLIES & EUIP
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89103
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Practice Fax: 702-889-5035
1356131593 — COMPREHENSIVE MEDICAL GROUP LLC
Practice Location Address:
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Practice Fax:
1023362837 — MS. CHRISTINE MARIA LAPORTE LMFT 2715
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Practice Fax:

Directions to “RACHEL MISMAS DDS LLC ” Practice Location

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