NPI | 1598946261 |
---|---|
Doing Business As | RED ROCK ORAL & MAXILLOFACIAL SURGERY CENTRE |
Entity Type | Organization |
Authorized Contact | MARK I DEGEN President/Owner 7022-253-9090 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NV 10535) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NV 10535) |
Enumeration Date | 2007-11-21 |
Last Update Date | 2008-09-09 |