Guy Landry Tatsuo Chisteckoff D.D.S.

NPI 1063528016 - Dentist - 1223G0001X

NPI Details
NPI 1063528016
Gender Male
Enumeration Date 08/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8940 S MARYLAND PWKY
100
LAS VEGAS NV, 89123-5363, US
Phone (702) 270-6501
Fax (702) 260-4249
Business Location
8940 S MARYLAND PWKY
100
LAS VEGAS NV, 89123-5363, US
Phone (702) 270-6501
Fax (702) 260-4249
Toxanomy
Taxonomy Code 1223G0001X
License State Nevada
License Number 3706
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According to our database, Dr. Guy Landry Tatsuo Chisteckoff D.D.S. NPI is 1063528016, taxonomy code is 1223G0001X and license number is 3706, license state is located at Nevada. Guy Landry Tatsuo Chisteckoff D.D.S. physically located at 8940 S Maryland Pwky, Las Vegas NV, 89123-5363. NPI Number Guy Landry Tatsuo Chisteckoff D.D.S. has the Individual type.

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1063528016 NPI number is provided on an as is basis without warranty of any kind. 1063528016 is maintained by the National Plan & Provider Enumeration System. The contents of Guy Landry Tatsuo Chisteckoff D.D.S. are for informational purposes only.