NPI | 1225874340 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK WHITING Owner/Manager 702-845-4934 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-07-08 |
Last Update Date | 2024-07-08 |