Joaniqua Rutherford, DENTAL ASSISTANT
NPI #1366141368 in Nellis Afb, Nevada
Provider Information
- NPI Number
- 1366141368
- Entity Type
- Individual
- Name
- Joaniqua Rutherford, DENTAL ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Credential
- DENTAL ASSISTANT
- Enumeration Date
- Feb 28, 2023
- Last Updated
- Feb 28, 2023
Practice Location
- Address
- 4700 LAS VEGAS BLVD N
- City
- Nellis Afb
- State
- Nevada
- ZIP Code
- 89191-6600
- Phone
- (702) 653-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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