Endalkachew Mersha D.m.d,a Professional Corpation

NPI #1609095561 in Las Vegas, Nevada

Provider Information

NPI Number: 1609095561
Entity Type: Organization
Organization Name: Endalkachew Mersha D.m.d,a Professional Corpation
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 25, 2007
Last Updated: Jul 7, 2008

Practice Location

Address: 2350 S JONES BLVD STE 120
City: Las Vegas
State: Nevada
ZIP Code: 89146-3124
Phone: (702) 889-2624

Authorized Official

Name: WILLIAM ORELLANA
Title: OFFICE MGR
Phone: (702) 889-5000

Specialties & Taxonomy Codes

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

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