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NPI Code Detail

MEDICARE: SHERONDA MICHELLE STRIDER-BARRAZA DMD

MEDICARE: SHERONDA MICHELLE STRIDER-BARRAZA DMD
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
11223G0001XGeneral Practice Dentistry6910NV

General Provider Information

NPI Number : 1366969164
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERONDA MICHELLE STRIDER-BARRAZA DMD
Provider Business Mailing Address
First Line : 640 E DEER SPRINGS WAY STE 180
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89086-1514
Country : US
Telephone Number : 702-399-3800
Fax Number : 702-399-3801
Provider Business Practice Location Address
First Line : 640 E DEER SPRINGS WAY STE 180
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89086-1514
Country : US
Telephone Number : 702-399-3800
Fax Number : 702-399-3801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2017
Last Update Date : 08/23/2017

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Directions to “ SHERONDA MICHELLE STRIDER-BARRAZA DMD” Practice Location

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