| NPI | 1558669127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYSON DAVID LEMONE Dentist/ Owner 702-364-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 5733266-9921) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-09-06 |