Blair a Isom DDS Ltd

NPI #1497295968 in Las Vegas, Nevada

Provider Information

NPI Number: 1497295968
Entity Type: Organization
Organization Name: Blair a Isom DDS Ltd
Primary Specialty: Dentist
Enumeration Date: Mar 3, 2017
Last Updated: Mar 3, 2017

Practice Location

Address: 7180 CASCADE VALLEY CT STE 100
City: Las Vegas
State: Nevada
ZIP Code: 89128-1407
Phone: (702) 645-1323

Authorized Official

Name: BLAIR A ISOM, DDS
Title: OWNER
Phone: (702) 645-1323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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