| NPI | 1619121159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES K MAH Partner 702-750-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NV S3-138) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NV S3-166) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |