| NPI | 1548348915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ALLEN DRAKE President 702-643-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NV 2788) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |