| NPI | 1639802325 |
|---|---|
| Doing Business As | CRESTVIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | ADAM LOUSIGNONT Doctor/Owner 702-686-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-07-08 |