Gautam, Pawan
Gautam, Pawan is an sole proprietor health care provider with primary practice located at 210 E Flamingo Rd Unit 217, Las Vegas NV 89169-4793. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Gautam, Pawan can be contacted via phone (760) 447-2655.Contact Information
Primary practice address
210 E Flamingo Rd Unit 217
Las Vegas NV 89169-4793
Phone: (760) 447-2655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | S3-245C | Nevada |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DDS103359 | California |
Profile Details
| NPI number | 1053742742 |
|---|---|
| LBN Legal business name | Gautam, Pawan |
| Credentials | Master of Dental Surgery (MDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2013 |
| Last updated | Mar 22nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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