| NPI | 1568691491 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL CARE ASSOCIATES OF LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM FRANKLIN WAGGONER Owner/President 702-254-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |