| NPI | 1487828356 |
|---|---|
| Doing Business As | LAS VEGAS ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | KEVIN M MARTIN Owner 702-204-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV S2-26) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |