NPI | 1275660052 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY M LILYHORN President 775-786-2011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NV 1056) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |