| NPI | 1306471826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA JESSENIA CAZZALY General Manager Of Oporations 702-456-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |