| NPI | 1508815747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LESTER MANN Owner Dentist/Lead 775-329-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2006-05-07 |
| Last Update Date | 2015-06-25 |