NPI | 1093030249 |
---|---|
Doing Business As | CAVITYBUSTERS |
Entity Type | Organization |
Authorized Contact | TERESA SUE WESTFALL Office Manager 702-869-8858 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-52) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2010-03-31 |