Jl Fakalata

NPI 1336412097 · on the registry since 2012 · sole proprietor

Practice

Address: 3481 E Sunset Rd
Suite 100
Las Vegas, NV 89120
Phone: (702) 998-6264
Fax: (702) 998-6270
Organisation at this address: A List Family Services Llc
Chad Gubler Casino Direct-Ortho
New Image Medical Network, L.L.C.
Chad N Gubler, Dds Casino Direct, Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada