Whalio Doctors

NPI 1518059617

Mark L Glyman, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Las Vegas, NV

Practice location

Address
2030 E Flamingo Rd 288, Las Vegas, NV 89119-0818
Phone
(702) 892-0833
Fax
(702) 892-0906

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 6502 (NV)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 6502 (NV)

Registry record

NPI
1518059617
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Sep 2006
Record last updated
23 Feb 2010

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.