| NPI | 1235556770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA MARIE GORSUCH Practice Admin 775-677-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NV 4747) |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2014-03-22 |