NPI 1710765532

Nicole Lynn Brewster, RDHBSDHMSADT

Practitioner Dental Therapist Las Vegas, NV

Practice location

Address: 2430 E Harmon Ave STE 1, Las Vegas, NV 89121-5338
Phone: (702) 796-0095
Fax: (702) 761-4551
Mailing address: 10620 Southern Highlands Pkwy # 110-361, Las Vegas, NV 89141-4371

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence DT120 (MN)

Other Dental Therapist providers in Nevada →

Registry record

NPI: 1710765532
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2023
Record last updated: 21 Sep 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.