| NPI | 1063309755 |
|---|---|
| Doing Business As | SHADOW CREEK CHILDREN'S DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | RYAN JOLLEY Partner 702-701-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |