| NPI | 1356925796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMER FARANESH President 702-812-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |