David Randolph Wasserman, DMD

NPI #1902971005 in Las Vegas, Nevada

Provider Information

NPI Number: 1902971005
Entity Type: Individual
Name: David Randolph Wasserman, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4055 SO SPENCER STREET
Address 2: SUITE 200
City: Las Vegas
State: Nevada
ZIP Code: 89119-5251
Phone: (702) 734-2711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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