| 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 |