| NPI | 1215151766 |
|---|---|
| Doing Business As | HILLSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL LIBKE President 775-322-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 1099) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |