Jonathan Tao

NPI #1255012852 in Las Vegas, Nevada

Provider Information

NPI Number: 1255012852
Entity Type: Individual
Name: Jonathan Tao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 26, 2023
Last Updated: Jul 26, 2023

Practice Location

Address: 4720 BLUE DIAMOND RD STE 100
City: Las Vegas
State: Nevada
ZIP Code: 89139-7609
Phone: (702) 583-5342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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