| NPI | 1265910970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA K. GOLDEN Consultant 775-884-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NV 4821) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-11-21 |