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NPI Code Detail

MEDICARE: CATHERINE CARREIRO RDH

MEDICARE: CATHERINE CARREIRO RDH
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
1124Q00000XDental Hygienist3636NV

General Provider Information

NPI Number : 1891090841
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE CARREIRO RDH
Provider Business Mailing Address
First Line : 3074 ARVILLE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-7490
Country : US
Telephone Number : 702-889-3591
Fax Number :
Provider Business Practice Location Address
First Line : 3074 ARVILLE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-7490
Country : US
Telephone Number : 702-889-3591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2011
Last Update Date : 07/10/2012

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1588963615 — FUTURE SMILES
Practice Location Address:
3074 ARVILLE ST
LAS VEGAS, NV
89102-7490
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Practice Fax:
1013216340 — MS. SUSAN E LEGRAND RDH
Practice Location Address:
3074 ARVILLE ST
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89102-7490
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1124319181 — KELLY J TAYLOR RDH
Practice Location Address:
3074 ARVILLE ST
LAS VEGAS, NV
89102-7490
Practice Phone: 702-889-3763
Practice Fax: 702-889-3591

Directions to “ CATHERINE CARREIRO RDH” Practice Location

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