| NPI | 1205078391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT EARLEY General Practice Manager 775-770-3591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NV 3291) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |