| NPI | 1417041146 |
|---|---|
| Doing Business As | ANTHEM PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DIANA B. MENDOZA Office Manager 702-459-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV 4341) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV 3696) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-11-12 |