Open Airway Las Vegas LLC

NPI #1104432939 in Las Vegas, Nevada

Provider Information

NPI Number: 1104432939
Entity Type: Organization
Organization Name: Open Airway Las Vegas LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Sep 17, 2020
Last Updated: Sep 17, 2020

Practice Location

Address: 7180 CASCADE VALLEY CT STE 100
City: Las Vegas
State: Nevada
ZIP Code: 89128-1407
Phone: (702) 756-8422

Authorized Official

Name: DR. BLAIR A. ISOM, DDS
Title: OWNER
Phone: (702) 756-8422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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