Terry Allen Truesdale D.D.S.

NPI 1265707400 - Dentist - 122300000X

NPI Details
NPI 1265707400
Gender Male
Enumeration Date 03/21/2012
Last Updated 03/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2381 RENAISSANCE DRIVE
SUITE B
LAS VEGAS NV, 89119-6498, US
Phone (702) 798-1060
Fax (702) 798-0295
Business Location
2381 RENAISSANCE DRIVE
SUITE #B
LAS VEGAS NV, 89119-6498, US
Phone (702) 798-1060
Fax (702) 798-0295
Toxanomy
Taxonomy Code 122300000X
License State Nevada
License Number 2572
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According to our database, Mr. Terry Allen Truesdale D.D.S. NPI is 1265707400, taxonomy code is 122300000X and license number is 2572, license state is located at Nevada. Terry Allen Truesdale D.D.S. physically located at 2381 Renaissance Drive, Las Vegas NV, 89119-6498. NPI Number Terry Allen Truesdale D.D.S. has the Individual type.

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1265707400 NPI number is provided on an as is basis without warranty of any kind. 1265707400 is maintained by the National Plan & Provider Enumeration System. The contents of Terry Allen Truesdale D.D.S. are for informational purposes only.