| NPI | 1578613683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J HOLMES Pres Owner 775-882-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 2220) |
| Additional Taxonomies | 122300000X Dentist (Licence: 4714) |
| 122300000X Dentist (Licence: NV 685) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-08-04 |