ANGELICA JANE BUSTOS THACKER

LAS VEGAS, NV
NPI1073251963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NV  7617)
Enumeration Date2022-05-22
Last Update Date2023-03-17
Business Address
Dr. ANGELICA JANE BUSTOS THACKER DMD
7603 GRAND TETON DR STE 140
LAS VEGAS, NV 89131-1602
Phone number: 702-957-1013
Mailing Address
Dr. ANGELICA JANE BUSTOS THACKER DMD
12028 HATHAWAY PINES LN
LAS VEGAS, NV 89138-4501
Phone number: 702-883-9376