| NPI | 1235895772 |
|---|---|
| Doing Business As | SOUTH REGAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRYSON LEMONE Onwer 702-610-5708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |