NPI | 1063606580 |
---|---|
Doing Business As | SIMISTER AND LEAVER ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | DOUGLAS K SIMISTER Owner 702-735-4169 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: s3153) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2014-02-19 |