| NPI | 1588333017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CHARLES GILBERT Orthodontist/ Managing Member 775-338-3079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |