Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0004X | Dentist Anesthesiologist | S2-12 | NV |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | S2-12 | NV |
NPI | 1134265507 |
---|---|
Provider Name | Dr. Daniel L Orr II |
First Address | Las Vegas, NV 89102-2287 |
Second Address | Las Vegas, NV 89102-2287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 17/05/2013 |