| NPI | 1255534509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL WEBBERSON President 702-658-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4342) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |