NPI | 1255866158 |
---|---|
Doing Business As | DENTISTS OF NORTH LAS VEGAS |
Entity Type | Organization |
Authorized Contact | SPENCER FADDIS Owner 702-359-3107 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-04-28 |
Last Update Date | 2022-04-13 |