Individual provider · Type 1 NPI

Renalie Manuel, DDS

Pediatric Dentistry · Las Vegas, NV

NPI number 1902952070 Active

Practice location

169 N Nellis Blvd
Las Vegas, NV 89110-5320

Fax (702) 438-8424

Mailing address

526 S Tonopah Dr, Ste. 200
Las Vegas, NV 89106-4043

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X55087 (CA)
General Practice Dentistry 1223G0001X5176 (NV)
Pediatric Dentistry 1223P0221X5176 (NV)
Pediatric Dentistry Primary 1223P0221XS6-108 (NV)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1902952070

Renalie Manuel, DDS's National Provider Identifier is 1902952070, issued on Jan 25, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 27, 2016.