| NPI | 1447429808 |
|---|---|
| Doing Business As | IMPLANT & PERIODONTAL CENTER OF NEVADA |
| Entity Type | Organization |
| Authorized Contact | ALLEN WL HUANG Periodontist 702-733-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NV S4-31) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NV S7-51) |
| 1223P0300X Dentist, Periodontics (Licence: NV S4-53) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-121) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |