| NPI | 1336541101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE SPENCER HASLAM General Dentist 702-425-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 6531) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |