NPI 1366141368

Joaniqua Rutherford, DENTALASSISTANT

Practitioner Dental Assistant Nellis Afb, NV

Practice location

Address: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
Phone: (702) 653-2600

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1366141368
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2023
Record last updated: 28 Feb 2023

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.