person
Dr. Wayne Ichikawa, DDS,MS
Oral and Maxillofacial Surgery (Dentist) in Las Vegas, Nevada
NPI 1477604627

Wayne Ichikawa is a Oral and Maxillofacial Surgery (Dentist) based in Las Vegas, NV and is specialized in Oral and Maxillofacial Surgery. Wayne Ichikawa practices in Las Vegas, NV and has the professional credentials of DDS,MS. The NPI Number for Wayne Ichikawa is 1477604627 and holds a License No. 29954 (Nevada).

The current practice location address for Wayne Ichikawa is 1001 Shadow Ln # Ms 7413, Las Vegas, NV and can be reached out via phone at 702-774-2457 and via fax at 702-774-2610. You can also correspond with Wayne Ichikawa through the mailing address at 1001 SHADOW LN # MS 7413, LAS VEGAS, NV - 89106-4124 (mailing address contact number: 702-774-2457).

Location: 1001 Shadow Ln # Ms 7413, Las Vegas, NV, 89106-4124
person
Provider Profile Details
NPI Number
1477604627
Provider Name
Wayne Ichikawa
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
1001 Shadow Ln # Ms 7413, Las Vegas, NV, 89106-4124
Phone Number
702-774-2457
Fax Number
702-774-2610
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1001 Shadow Ln # Ms 7413
City
State
Zip
89106-4124
Phone Number
702-774-2457
Fax Number
702-774-2610
person
Provider Business Mailing Address Details
Address
1001 Shadow Ln # Ms 7413
City
State
Zip
89106-4124
Phone Number
702-774-2457
Fax Number
702-774-2610
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
29954 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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