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NPI Code Detail

MEDICARE: AMANPREET K BATH DDS

MEDICARE: AMANPREET K BATH 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
11223G0001XGeneral Practice Dentistry7273NV

General Provider Information

NPI Number : 1558916775
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANPREET K BATH DDS
Provider Business Mailing Address
First Line : 2250 S RANCHO DR STE 205
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-4456
Country : US
Telephone Number : 702-291-2031
Fax Number : 702-984-7566
Provider Business Practice Location Address
First Line : 945 S RAINBOW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-6230
Country : US
Telephone Number : 702-331-8585
Fax Number : 702-822-2465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2019
Last Update Date : 08/05/2019

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Directions to “ AMANPREET K BATH DDS” Practice Location

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