| NPI | 1013347731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA L CARPENTER Regional Manager 702-997-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NV 5586) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |