| NPI | 1184942708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA TRICIA LEE Owner/Director 775-787-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NV 4880) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |