| NPI | 1093919458 |
|---|---|
| Doing Business As | MOSAIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | HAI Q. XA Doctor 702-456-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NV 3780) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |