| NPI | 1558482067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SANDQUIST President 702-734-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 556) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |