NPI | 1619854445 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA VALLEJO Financial Coordinator 702-243-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2025-08-21 |
Last Update Date | 2025-08-21 |