| NPI | 1104154749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN GREGORY President 702-423-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 5521) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |