| NPI | 1477818862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY POPP General Manager 775-738-9666 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NV 4167) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |