| NPI | 1003159369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE M SHIELDS Director Of Financial Relations 775-738-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4167) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |