Bryce Haslam

NPI 1508255878 · on the registry since 2015 · sole proprietor

Practice

Address: 4380 Blue Diamond Rd Ste 102
Las Vegas, NV 89139
Phone: (702) 425-4424
Fax: (702) 875-4320
Organisation at this address: Pacific Dental Services
Watanabe Diamond Dental Group, Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-01-09

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