| NPI | 1043573553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN G JOHNSON President 702-360-8918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV S228) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |