| NPI | 1386984110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE ANNE STARK Dentist 702-437-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3585) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |