| NPI | 1538332697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUONG TON Treasurer 702-369-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4555) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NV 4077) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-18 |