| NPI | 1588297329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL NIEL DELA CRUZ CEO/General Dentist 775-722-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| 261QD0000X Clinic/Center Dental | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |