| 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 |