SearchNevada1223S0112X

Blair Isom, D.D.S

NPI 1922365402 · on the registry since 2012 · sole proprietor

Practice

Address
9368 Bronze River Ave
Las Vegas, NV 89149
Phone
(509) 822-8725

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
1223S0112X
1223S0112X
Licence states on file
CA, WA, NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-27

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