| NPI | 1285890004 |
|---|---|
| Doing Business As | EAST LAKE MEAD DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID LEE President 702-241-8206 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NV 3518) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |