MEDICARE: CHRISTELLE Y ALHWAYEK DMD, PLLC

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
1	122300000X	Dentist	6678	NV

General Provider Information

NPI Number	:	1912457284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTELLE Y ALHWAYEK DMD, PLLC

Provider Business Mailing Address
First Line	:	1111 N DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-1220
Country	:	US
Telephone Number	:	702-636-5553
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 N DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-1220
Country	:	US
Telephone Number	:	702-636-5553
Fax Number	:	844-318-0949

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. CHRISTELLE ALHWAYEK
Credential	:	DMD
Telephone Number	:	702-985-1795

Provider Enumeration Date	:	10/10/2016
Last Update Date	:	12/13/2019

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