| NPI | 1073986907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA RYSHKUS Office Manager 702-212-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NV 2542) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |