Provider Demographics
NPI:1457512923
Name:GOASLIND, GARY DEE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:DEE
Last Name:GOASLIND
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:3811 W CHARLESTON BLVD
Mailing Address - Street 2:#201
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1846
Mailing Address - Country:US
Mailing Address - Phone:702-259-1943
Mailing Address - Fax:702-877-2727
Practice Address - Street 1:3811 W CHARLESTON BLVD
Practice Address - Street 2:#201
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1846
Practice Address - Country:US
Practice Address - Phone:702-259-1943
Practice Address - Fax:702-877-2727
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV2635/S4-131223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics