Piyevsky Professional Dental Corporation

NPI #1801919113 in Las Vegas, Nevada

Provider Information

NPI Number: 1801919113
Entity Type: Organization
Organization Name: Piyevsky Professional Dental Corporation
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 7481 W LAKE MEAD BLVD
Address 2: STE. 100
City: Las Vegas
State: Nevada
ZIP Code: 89128-0285
Phone: (702) 304-1234

Authorized Official

Name: ELLEN PIYEVSKY, D.D.S.
Title: PRESIDENT
Phone: (702) 304-1234

Specialties & Taxonomy Codes

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

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