| NPI | 1104967413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL I WRIGHT Manager 775-883-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NV 2316) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |