NPI | 1154637890 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND FABIAN CORDERO Director 702-368-0911 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4725) |
Enumeration Date | 2010-08-19 |
Last Update Date | 2010-08-19 |