| NPI | 1265945638 |
|---|---|
| Doing Business As | MOUNTAIN WEST DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | KEATON MATTHEW TOMLIN Pediatric Dentist 702-423-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-147) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-305) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |