| NPI | 1033490388 |
|---|---|
| Doing Business As | DENTAL FUN ZONE |
| Entity Type | Organization |
| Authorized Contact | KAYLI COFFMAN Manager 702-204-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2012-02-23 |