| 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 |