| NPI | 1497039341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GARDNER President 775-727-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-81C) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |