| Carlos H Letelier Md Dmd Dds A P C | |
|
10115 W Twain Ave Ste 100 Las Vegas NV 89147-6718 | |
| (702) 367-6666 | |
| (702) 367-9555 |
| Full Name | Carlos H Letelier Md Dmd Dds A P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 10115 W Twain Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Carlos H Letelier (OWNER) |
| Authorized Official Contact | 7023676666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos H Letelier Md Dmd Dds A P C 10115 W Twain Ave Ste 100 Las Vegas NV 89147-6718 Ph: (702) 367-6666 | Carlos H Letelier Md Dmd Dds A P C 10115 W Twain Ave Ste 100 Las Vegas NV 89147-6718 Ph: (702) 367-6666 |
| NPI Number | 1285025130 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 12/14/2021 |
| Medicare PECOS PAC ID | 7214329598 |
|---|---|
| Medicare Enrollment ID | O20220118002233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285025130 | NPI | - | NPPES |
| 1689614893 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Carlos H Letelier |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689614893 PECOS PAC ID: 9830121458 Enrollment ID: I20050903000014 |
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