| NPI | 1225524960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RIEGEL Owner 702-436-6186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NV S5-13) |
| Additional Taxonomies | 122300000X Dentist (Licence: NV 6643) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-19 |