| NPI | 1558034546 |
|---|---|
| Other Name | CHILDREN'S DENTAL CARE AT GREEN VALLEY |
| Entity Type | Organization |
| Authorized Contact | MARTY LALANDE Business Administrator 702-254-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |