| NPI | 1174315121 |
|---|---|
| Doing Business As | EXCEPTIONAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW THACKER President/Owner 702-408-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-05-17 |
| Last Update Date | 2025-05-17 |