| NPI | 1447779640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN CHENIN Manager 702-524-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |