| NPI | 1104331081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GOLDEN Management Consultant 775-846-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4783) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |