| NPI | 1518169200 |
|---|---|
| Other Name | CSN - DENTAL FACULTY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | BRENDA L. MARION Clinical Services Manager 702-651-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-07-23 |