| NPI | 1205338563 |
|---|---|
| Doing Business As | NEVADAOMS |
| Entity Type | Organization |
| Authorized Contact | MICHEL JOSEPH DACCACHE Owner 702-750-9444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV S2-112C) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |