| NPI | 1174006373 |
|---|---|
| Doing Business As | GENTLE DENTAL RENO NORTHWEST |
| Entity Type | Organization |
| Authorized Contact | TODD CRESSMAN Owner/President 800-684-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |