Gussow Dental Care Prof Corp

NPI #1174398416 in Las Vegas, Nevada

Provider Information

NPI Number: 1174398416
Entity Type: Organization
Organization Name: Gussow Dental Care Prof Corp
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 16, 2023
Last Updated: Feb 14, 2025

Practice Location

Address: 4343 N RANCHO DR STE 131
City: Las Vegas
State: Nevada
ZIP Code: 89130-3422
Phone: (702) 395-7200

Authorized Official

Name: JONATHAN WELCH, DMD
Title: MANAGING MEMBER
Phone: (702) 371-0221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist - General Practice — General Practice	1223G0001X	Primary

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