| NPI | 1457528390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RICHARD WIRIG President 702-454-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-175) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-11-18 |