| NPI | 1306182019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHING KUO TONY LEE Dentist/President 702-270-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3480) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |