| NPI | 1073641916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT L PHILLIPS Orthodontist 775-332-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NV S3-32) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-09-10 |