| NPI | 1134662679 |
|---|---|
| Other Name | CARSON CITY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KEVIN OLSON Manager 775-461-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-109) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |