| NPI | 1518146364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN DONALD GARDNER Owner 775-753-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NV S246C) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NV 4812T) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2017-05-02 |