| NPI | 1609377373 |
|---|---|
| Doing Business As | MOUNTAIN'S EDGE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TODD JAMES BAGGALEY Managing Member 702-496-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-107) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |