| NPI | 1619774106 |
|---|---|
| Doing Business As | ATHENA NEVADA |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HERNANDEZ Owner 725-291-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist, Endodontics | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-04 |