| NPI | 1083735245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA R WOOLRIDGE-OFORI Owner 702-345-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4669) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-02-17 |