| NPI | 1134425507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WIRIG Orthodontist 702-482-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV s3-175) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |