| NPI | 1184080996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON J HSIEH Owner 702-892-9878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV 5037) |
| Additional Taxonomies | 122300000X Dentist (Licence: NV 5037) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2017-11-08 |