| NPI | 1437408192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN F PAUL President 702-335-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA 61067) |
| Enumeration Date | 2012-09-09 |
| Last Update Date | 2012-09-09 |