| NPI | 1538426374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE SCHURKE Accountant 775-434-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4426) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-05-11 |