| NPI | 1417090499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT L. PHILLIPS Owner 775-332-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |