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 |