Centennial Specialty Surgery Center INC

NPI #1043560295 in Las Vegas, Nevada

Provider Information

NPI Number
1043560295
Entity Type
Organization
Organization Name
Centennial Specialty Surgery Center INC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 14, 2012
Last Updated
Aug 7, 2020

Practice Location

Address
5550 PAINTED MIRAGE RD
Address 2
SUITE 100
State
Nevada
ZIP Code
89149-4581
Phone
(310) 993-8994

Authorized Official

Name
DR. DANIEL P TAHERI, M.D.
Title
OWNER
Phone
(310) 993-8994

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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