NPI | 1417471509 |
---|---|
Doing Business As | JUST FOR KIDS DENTISTRY |
Doing Business As | EASTERN HILLS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SUE SHELL Credentialing Specialist 702-218-2713 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 5876) |
Enumeration Date | 2017-07-31 |
Last Update Date | 2017-11-28 |