Daniel Vizconde, DMD

NPI 1780405746 · on the registry since 2024 · sole proprietor

Practice

Address: 9560 W Skye Canyon Park Dr Ste 100
Las Vegas, NV 89166
Phone: (702) 800-5711
Organisation at this address: Optic Gallery Skye Canyon Llc
Shahrestani Grand Canyon Modern Dentistry, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

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: 2024-10-22

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