Spencer J Faddis, DDS

NPI #1780050971 in Las Vegas, Nevada

Provider Information

NPI Number: 1780050971
Entity Type: Individual
Name: Spencer J Faddis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 11, 2015
Last Updated: Aug 11, 2015

Practice Location

Address: 10870 W CHARLESTON BLVD
Address 2: 170
City: Las Vegas
State: Nevada
ZIP Code: 89135-1158
Phone: (702) 254-6412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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