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NPI Code Detail

MEDICARE: PATRICK ANGHEL DDS

MEDICARE: PATRICK ANGHEL 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
1122300000XDentist7258NV

General Provider Information

NPI Number : 1649826793
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK ANGHEL DDS
Provider Business Mailing Address
First Line : 200 W SAHARA AVE UNIT 2411
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-5080
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 366 W LAKE MEAD PKWY STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7287
Country : US
Telephone Number : 702-464-3090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2019
Last Update Date : 08/14/2019

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Directions to “ PATRICK ANGHEL DDS” Practice Location

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