| NPI | 1144653338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH WILLS Dentist 702-257-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 6329) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |