| NPI | 1083278659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELCEY LOVELAND Orthodontist 702-674-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |