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NPI 1902160252

OrganizationActive

Centennial Dermatology and Skin Cancer Inc

NPI 1902160252 · Dermatology Physician · Las Vegas, NV

Provider details

NPI number: 1902160252
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Daniel Taheri, President

Practice location

5550 Painted Mirage Rd

Suite 110

Las Vegas, NV 89149-4581

Phone: (702) 432-3800

More NV providers

Mailing address

Po Box 496084

Redding, CA 96049-6084

Registry dates

Enumerated: 2012-07-02
Last updated: 2012-07-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Centennial Dermatology and Skin Cancer Inc — NPI 1902160252, Las Vegas, NV | NPI Central