| NPI | 1205081585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN GLICK President 702-432-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4281) |
| Enumeration Date | 2008-11-30 |
| Last Update Date | 2008-11-30 |