NPI | 1215168547 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS JON OSTLER President 702-796-0201 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NV 3366) |
Enumeration Date | 2009-08-04 |
Last Update Date | 2009-08-04 |