| NPI | 1083373245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY C OKUDA Owner/Orthodontist 702-737-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |