| NPI | 1386913309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE TAILUNG TAI Endodontist 702-683-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NV S7-59) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2012-02-14 |