Centennial Dermatology and Skin Cancer INC

NPI #1942565205 in Las Vegas, Nevada

Provider Information

NPI Number
1942565205
Entity Type
Organization
Organization Name
Centennial Dermatology and Skin Cancer INC
Primary Specialty
Dermatology
Enumeration Date
Jul 11, 2012
Last Updated
Jul 11, 2012

Practice Location

Address
5500 PAINTED MIRAGE ROAD
Address 2
SUITE 100
State
Nevada
ZIP Code
89149
Phone
(702) 432-3800

Authorized Official

Name
DANIEL TAHERI, MD
Title
PRESIDENT
Phone
(702) 432-3800

Specialties & Taxonomy Codes

Specialty
Dermatology

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