NPI | 1164974671 |
---|---|
Doing Business As | ADVENTURE SMILES, DENTISTRY FOR CHILDREN |
Entity Type | Organization |
Authorized Contact | GARY RICHARDSON Dentist 702-838-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-49) |
Enumeration Date | 2016-11-01 |
Last Update Date | 2016-11-01 |