| NPI | 1437548401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY S FRUGOLI Dentist 775-329-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 2051) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |