Search › Nevada › 1223G0001X
Kenneth Dettlaff, DMD
NPI 1467538082 · on the registry since 2006
Practice
- Address
- 1725 E Warm Springs Rd Ste 2
Las Vegas, NV 89119 - Phone
- (702) 270-8790
- Fax
- (702) 270-8928
- Organisation at this address
- Family First Medical Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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