Tagatac, Marella Jo
Tagatac, Marella Jo is an sole proprietor health care provider with primary practice located at 8995 W Flamingo Rd Ste 100 , Las Vegas NV 89147-0441. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Tagatac, Marella Jo can be contacted via phone (725) 677-1164.Contact Information
Primary practice address
8995 W Flamingo Rd Ste 100
Las Vegas NV 89147-0441
Phone: (725) 677-1164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28449 | Texas |
| Dental Providers / Dentist | 122300000X | 7046 | Nevada |
Profile Details
| NPI number | 1003150384 |
|---|---|
| LBN Legal business name | Tagatac, Marella Jo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 26th, 2012 |
| Last updated | Sep 20th, 2024 - about 2 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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