| NPI | 1215057336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS H LETELIER Doctor 702-367-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 9658) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV 9658) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-12-14 |