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1083800429
THEODORE ALBERT MCWILLIE
LAS VEGAS, NV
NPI
1083800429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NV 2103)
Enumeration Date
2007-09-19
Last Update Date
2007-09-19
Business Address
Dr. THEODORE ALBERT MCWILLIE D.D.S.
4660 S EASTERN AVE SUITE 103
LAS VEGAS, NV 89119-6137
Phone number: 702-456-0005
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Mailing Address
Dr. THEODORE ALBERT MCWILLIE D.D.S.
4660 S EASTERN AVE SUITE 103
LAS VEGAS, NV 89119-6137
Phone number: 702-456-0005
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