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NPI Code Detail

MEDICARE: MARK H MINGUEY DDS

MEDICARE:   MARK H MINGUEY  DDS
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
1122300000XDentist795NV

General Provider Information

NPI Number : 1447342761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK H MINGUEY DDS
Provider Business Mailing Address
First Line : 2701 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2154
Country : US
Telephone Number : 702-870-5165
Fax Number : 702-870-3096
Provider Business Practice Location Address
First Line : 2701 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2154
Country : US
Telephone Number : 702-870-5165
Fax Number : 702-870-3096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 07/08/2007

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Directions to “ MARK H MINGUEY DDS” Practice Location

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