Ryan Wiltsie

NPI #1073174488 in Las Vegas, Nevada

Provider Information

NPI Number: 1073174488
Entity Type: Individual
Name: Ryan Wiltsie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jun 26, 2019
Last Updated: Jun 26, 2019

Practice Location

Address: 6180 N DECATUR BLVD STE 100
City: Las Vegas
State: Nevada
ZIP Code: 89130-1505
Phone: (702) 359-3107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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