DR. Salvatore Joseph Licata JR., DDS

NPI #1063427789 in Las Vegas, Nevada

Provider Information

NPI Number: 1063427789
Entity Type: Individual
Name: DR. Salvatore Joseph Licata JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7720 W SAHARA AVE
Address 2: SUITE 110
City: Las Vegas
State: Nevada
ZIP Code: 89117
Phone: (702) 255-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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