DR. Marella Jo Tagatac, DDS

NPI #1003150384 in Las Vegas, Nevada

Provider Information

NPI Number: 1003150384
Entity Type: Individual
Name: DR. Marella Jo Tagatac, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 26, 2012
Last Updated: Sep 20, 2024

Practice Location

Address: 8995 W FLAMINGO RD STE 100
City: Las Vegas
State: Nevada
ZIP Code: 89147-0441
Phone: (725) 677-1164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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