| NPI | 1073397188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY B YOUNG President 775-828-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |