MEDICARE: DR. JANICE DARKO 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
1	122300000X	Dentist	78062	NV

General Provider Information

NPI Number	:	1972285120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANICE DARKO DDS

Provider Business Mailing Address
First Line	:	10468 KILT ROCK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6750
Country	:	US
Telephone Number	:	801-400-1127
Fax Number	:

Provider Business Practice Location Address
First Line	:	8925 W RUSSELL RD STE 160
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1220
Country	:	US
Telephone Number	:	801-400-1127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	08/07/2023

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Directions to “ DR. JANICE DARKO DDS” Practice Location

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