| NPI | 1629364146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN GARY THOMPSON Owner/Dentist 702-363-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NV 2771) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |