| NPI | 1144331588 |
|---|---|
| Doing Business As | ANTHEM PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | ED DE ANDRADE President 702-270-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NV 3586) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |