| NPI | 1497996219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD S MILNE Owner/Provider 702-240-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S644) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |