NPI | 1316489271 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD DUANE WEST Owner/Provider 775-683-9020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 5574) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2019-03-28 |