| NPI | 1619112992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHZAD GARAGOZLOO President 702-321-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NV S7-64) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: AZ 8884) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2014-02-14 |