| NPI | 1457726960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE O MARQUEZ Office Administrator 702-880-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NV S5 24) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |