Organization · Type 2 NPI
Thomas S Matteucci DDS Ltd
Dental Clinic/Center · Las Vegas, NV
NPI number
1114679750
Active
Practice location
2764 Lake Sahara Dr Ste 107
Las Vegas, NV 89117-3400
Fax (702) 221-8465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1114679750
Thomas S Matteucci DDS Ltd's National Provider Identifier is 1114679750, issued on Jan 25, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 25, 2022.