| NPI | 1104055037 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL CARE ASSOCIATES AT ALIANTE PARKWAY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM FRANKLIN WAGGONER Owner, President 702-853-7322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |