Solomon Issac Cantwell | Las Vegas, NV • PECOS Search

Solomon Issac Cantwell

Dentist

Dental Providers

7332 Halsey Ct, Las Vegas, NV 89129-6084

PECOS Enrollment

Based on the most recent information from CMS, provider Solomon Issac Cantwell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265753818
Provider Type
Individual
Full Name
Cantwell, Solomon Issac
Title
Dr.
Credential
D.M.D

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/17/2010
Last Updated
6/17/2010

Contact Information

Practice Location

7332 Halsey Ct, Las Vegas, NV 89129-6084

Unlisted Fax

Mailing Location

7332 Halsey Ct, Las Vegas, NV 89129-6084

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License DE60154097 Washington