| NPI | 1508059882 |
|---|---|
| Doing Business As | MIRACLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANN T. A. PHAM President 702-456-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 4078) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |