| NPI | 1164609988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABA ASRAR Orthodontist 702-575-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-156C) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |