NPI | 1366679839 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS MELENDREZ Owner 775-329-2299 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV 00210093) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2009-06-11 |