| NPI | 1558764456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MAH Program Director 702-774-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV 6528) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |