DR. Kent A Lysgaard, DDS

NPI #1033139845 in Las Vegas, Nevada

Provider Information

NPI Number
1033139845
Entity Type
Individual
Name
DR. Kent A Lysgaard, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
7180 CASCADE VALLEY CT
Address 2
SUITE 100
State
Nevada
ZIP Code
89128-0481
Phone
(702) 360-9061

Specialties & Taxonomy Codes

Specialty
Dentist

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