NPI | 1225316623 |
---|---|
Entity Type | Organization |
Authorized Contact | JAY DAVIS Member 702-482-8005 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV 5697) |
Enumeration Date | 2011-08-02 |
Last Update Date | 2011-08-02 |