DR. Vivek Gandotra, DDS

NPI #1013054931 in Las Vegas, Nevada

Provider Information

NPI Number: 1013054931
Entity Type: Individual
Name: DR. Vivek Gandotra, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 31, 2007
Last Updated: Aug 14, 2012

Practice Location

Address: 2212 S EASTERN AVE
City: Las Vegas
State: Nevada
ZIP Code: 89104-4124
Phone: (702) 220-9908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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