| NPI | 1366038457 |
|---|---|
| Doing Business As | BIG BLUE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AIMEE NICOLE SNELL Owner 775-887-9453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |