| NPI | 1164722203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T TING Owner/Dentist 702-450-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3692) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 4274) |
| 1223G0001X Dentist, General Practice (Licence: NV 5737) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |