Matthew J Wilson Inspire Dental LLC

NPI #1922778505 in Las Vegas, Nevada

Provider Information

NPI Number: 1922778505
Entity Type: Organization
Organization Name: Matthew J Wilson Inspire Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 15, 2021
Last Updated: Sep 15, 2021

Practice Location

Address: 2095 VILLAGE CENTER CIR STE 120
City: Las Vegas
State: Nevada
ZIP Code: 89134-6253
Phone: (702) 309-0909

Authorized Official

Name: MATTHEW J WILSON, DDS
Title: MBR
Phone: (702) 309-0909

Specialties & Taxonomy Codes

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

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