NPI | 1639478563 |
---|---|
Doing Business As | TINY LITTLE CHOMPERS DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRANDON L GRIEVE Dentist 702-468-7009 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2011-03-17 |
Last Update Date | 2011-03-17 |