| NPI | 1225253925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONRICO ARCANGEL MANGAPIT Dentist 702-384-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4156) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-06-30 |