NPI | 1588454367 |
---|---|
Doing Business As | KOHLMEYER DENTAL OF LAS VEGAS |
Entity Type | Organization |
Authorized Contact | MARK CHRISTENSEN Credentialing Specialist 801-305-3460 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2025-05-07 |
Last Update Date | 2025-05-07 |