| NPI | 1639541667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND PISCHINGER Insurance Department Manager 702-522-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV S3-162) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2018-06-01 |