NPI | 1457496077 |
---|---|
Doing Business As | CHEYENNE ADVANCED DENTAL ARTS |
Entity Type | Organization |
Authorized Contact | LYLE SCOTT BROOKSBY President 702-367-4121 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NV 2543) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |