| NPI | 1457473100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAY ANDREWS Owner President 775-674-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE NE 2766 Spec S345) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |