NPI | 1558669127 |
---|---|
Doing Business As | FAMILY SELECT DENTAL CARE |
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 |