| NPI | 1144742933 |
|---|---|
| Doing Business As | CARSON TAHOE ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | STEVEN VICTOR DRYDEN Sole Member 775-884-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV S2-148) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |