| 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 |