| NPI | 1629152434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LAMONTE CORNU President 775-727-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3204) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |