Pacific Dental Services

NPI #1336541101 in Las Vegas, Nevada

Provider Information

NPI Number: 1336541101
Entity Type: Organization
Organization Name: Pacific Dental Services
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 4380 BLUE DIAMOND RD STE 102
City: Las Vegas
State: Nevada
ZIP Code: 89139-7786
Phone: (702) 425-4424

Authorized Official

Name: DR. BRYCE SPENCER HASLAM, DDS
Title: GENERAL DENTIST
Phone: (702) 425-4424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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