NPI 1003150384

Marella Jo Tagatac, DDS

Practitioner Dentist Las Vegas, NV

Practice location

Address: 8995 W Flamingo Rd STE 100, Las Vegas, NV 89147-0441
Phone: (725) 677-1164
Mailing address: 342 Molinetto St, Las Vegas, NV 89138-3048

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 7046 (NV)

Other Dentist providers in Nevada →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 28449 (TX)

Registry record

NPI: 1003150384
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Nov 2012
Record last updated: 20 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.