| NPI | 1619132883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE PHUONG LAM Dentist 702-328-8349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 5730) |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2008-07-27 |