| NPI | 1396125415 |
|---|---|
| Doing Business As | THUNDERBIRD DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAWN LOUISE MCCLELLAN Owner/Dentist 702-499-8798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-23) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |