Organization · Type 2 NPI
Matthew Kikuchi DMD PLLC
Oral and Maxillofacial Surgery Clinic/Center · Las Vegas, NV
NPI number
1780051367
Active
Practice location
5765 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-5625
Fax (702) 876-2988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | S2-138 (NV) |
Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1780051367
Matthew Kikuchi DMD PLLC's National Provider Identifier is 1780051367, issued on Aug 31, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 19, 2019.