| NPI | 1184207912 |
|---|---|
| Doing Business As | WELLNESS DENTAL |
| Entity Type | Organization |
| Authorized Contact | SEVERN BIZZARO Manager 702-937-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |