| 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 |