| NPI | 1366691339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA ELIZABETH MAI President 702-434-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 4981) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 47282) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |