NPI | 1184942708 |
---|---|
Doing Business As | DIVINE DENTAL SMILE |
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 |