| NPI | 1427238534 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LYNDA C WATANABE Owner Doctor 702-577-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-07 |