| NPI | 1295766160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NHAN TRONG TRUONG Managing Member 702-633-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3691) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |