| 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 |